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

Jeongmi Moon

Individual provider Psychologist · NPI 1336566785

Jeongmi Moon is a Clinical Psychologist in San Diego, California. Qualified in 2016, 10 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

5050 Lotus St Apt 28
San Diego, CA 92107-1373
Phone: (619) 736-0333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5348 University Ave, San Diego, CA 92105-8025 — (619) 229-2999

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY33750 (CA)
Psychologist Taxonomy 103T00000X · Licence PSY33750 (CA)

Record details

NPI number1336566785
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 24, 2014
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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