Mariele Ann Moore, PHD
NPI 1144358631ActiveIndividual· Psychologist, Clinical· Los Osos, CA
Psychologist, Clinical (PHD) with Total Life Ca PC, practicing in Los Osos, California. Medicare paid $22,427 for services to 19 patients in 2024.
Overview
| NPI | 1144358631 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Feb 28, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY11506 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 176 across 2 procedure codes |
| Paid by Medicare | $22,427 |
Education and affiliations
| Graduation year | 1985 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Total Life Ca PCLos Angeles, CA · 32 clinicians
Other Psychologist, Clinical providers in Los Osos
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