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Joni Marie Moon, PSY.D.

NPI 1235221052ActiveIndividual· Psychologist, Clinical· Gresham, OR

Psychologist, Clinical (PSY.D.) in Gresham, Oregon, licensed in OR, with an NPI issued in September 2006. Enrolled in Medicare as practitioner - clinical psychologist.

Overview

NPI1235221052
StatusActive
Entity typeIndividual
CredentialPSY.D.
Sole proprietorNo
NPI issuedSep 29, 2006
Last updated in NPPESFeb 27, 2025
Certified by providerFeb 27, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Clinical Primary103TC0700X1637OR
Psychologist103T00000X1637OR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Psychologist (OR)

Medicare sources and data years

Education and affiliations

Graduation year2003
Medicare specialtyClinical Psychologist
TelehealthOffers telehealth

Source: CMS Care Compare

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