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

Jenna Marie Moon

Individual provider Clinical Psychologist · NPI 1336854736

Jenna Marie Moon is a Clinical Psychologist in Petaluma, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1500 Petaluma Blvd S
Petaluma, CA 94952-5545
Phone: (707) 765-8488
Show map & directions

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

Additional practice locations (1)

  • 435 Petaluma Ave Ste 142, Sebastopol, CA 95472-4273 — (707) 695-5784

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 36772 (CA)

Record details

NPI number1336854736
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 19, 2023
Last updated in NPPESJune 6, 2026
Certification dateJune 6, 2026

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