| Pacific Psychology, Inc | |
|
23801 Calabasas Rd Ste 2036 Calabasas CA 91302-3462 | |
| (818) 425-4411 | |
| (844) 228-0533 |
| Full Name | Pacific Psychology, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 23801 Calabasas Rd Ste 2036, Calabasas, California |
| Authorized Official Name and Position | Meghan Q Moody (PRESIDENT/SUPERVISING PSYCHOLOGIST) |
| Authorized Official Contact | 8184254411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Psychology, Inc 23801 Calabasas Rd Ste 2036 Calabasas CA 91302-3462 Ph: (818) 425-4411 | Pacific Psychology, Inc 23801 Calabasas Rd Ste 2036 Calabasas CA 91302-3462 Ph: (818) 425-4411 |
| NPI Number | 1083922884 |
|---|---|
| Provider Enumeration Date | 09/15/2010 |
| Last Update Date | 09/09/2020 |
| Certification Date | 09/09/2020 |
| Medicare PECOS PAC ID | 7517151434 |
|---|---|
| Medicare Enrollment ID | O20101104000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083922884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sara A Edrington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154422293 PECOS PAC ID: 5496850018 Enrollment ID: I20070410000399 |
| Provider Name | Meghan Q Moody |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851509947 PECOS PAC ID: 2769507300 Enrollment ID: I20100920000341 |
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