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

Dr. Nancy Lynn Brison-Moll, PHD

Individual provider Clinical Psychologist · NPI 1053410878

Dr. Nancy Lynn Brison-Moll, PHD is a Clinical Psychologist in Manteca, California. Qualified in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
32
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

965 E Yosemite Ave Ste 12
Manteca, CA 95336-5944
Phone: (209) 483-4498
Fax: (209) 824-0010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY15243 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY 15243 (CA)

Record details

NPI number1053410878
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 21, 2006
Last updated in NPPESApril 4, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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