Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mallory L Moon, PSYD

Individual provider Psychologist · NPI 1205496932

Dr. Mallory L Moon, PSYD is a Clinical Psychologist in El Cajon, California. Qualified in 2016, 10 years ago. Practices with Silver Lake Psychology Inc, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

500 Fesler St Ste 208
El Cajon, CA 92020-1946
Phone: (619) 440-4211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 31108 (CA)
Psychologist Taxonomy 103T00000X · Licence 31108 (CA)

Record details

NPI number1205496932
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJune 14, 2019
Last updated in NPPESAugust 26, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Silver Lake Psychology Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in El Cajon