Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Desirae Angela Moreno, LP

Individual provider Clinical Psychologist · NPI 1326273426

Dr. Desirae Angela Moreno, LP is a Clinical Psychologist in Wichita, Kansas. Qualified in 2012, 14 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Kansas.

Years since qualifying
14
Licensed in
KS
In the registry since
2009
Specialties on file
3
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Practice location Address checks out

121 S Whittier Rd
Wichita, KS 67207-1064
Phone: (316) 617-0357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 240 N Rock Rd, Wichita, KS 67206-2202 — (316) 683-3841

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2287 (KS)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1341 (KS)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2090 (KS)

Record details

NPI number1326273426
Entity typeIndividual (Type 1)
GenderFemale
Credentials LP
Sole proprietorYes
NPI enumeratedMay 19, 2009
Last updated in NPPESDecember 25, 2022
Certification dateDecember 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Wichita