Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235221052 Individual Practitioner Female Practitioner

Dr. Joni Marie Moon , PsyD

Psychologist - Clinical • Gresham, OR

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Joni Moon, PsyD is a certified Psychologist - Clinical practicing in Gresham, OR. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Moon delivers high-quality medical care to the local community at 502 N MAIN AVE.

Dr. Moon accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

502 N Main Ave

Gresham, OR 970307236

Telephone 5038910749
Associated Practice Facility / Clinic
🏢 Pacific Psychology Group Facility NPI 1518203603

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Gresham, OR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +5.2 yrs vs City Avg
City Avg: 17.8 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
13 Specialists

Practicing in Gresham, OR (1193 Statewide)

Telehealth Adoption Rate
30.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
49.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moon (23 Years) 23 Yrs
Gresham Specialty Average (17.8 Years) 17.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
244 22 $194.86 $103.07
90837 Psychotherapy, 60 minutes
171 17 $334.65 $144.84
90791 Psychiatric diagnostic evaluation
15 14 $325.00 $180.69

Medical Specialties & State Licenses

CMS Verified: 2025-02-27
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License OR 1637

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License OR 1637

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
164936 (OR)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 27, 2025

Registered at 502 N MAIN AVE, GRESHAM, OR 970307236 (Tel: 5038910749)

📍
Updated Business Mailing Address February 27, 2025

Registered at 2700 SW CORBETH LN, TROUTDALE, OR 970603140 (Tel: 5038910749)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2025

Psychologist (License #1637 in OR)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 12636 SE STARK ST, PLAZA 125, BUILDING J, PORTLAND, OR 972331058 (Tel: 5032534600)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 82819, PORTLAND, OR 972820819 (Tel: 5032335404)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JONI MOON, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #1637 in OR)

🟢
Initial NPI Registration & Enumeration September 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235221052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2006
Last Update: February 27, 2025
Sole Proprietor: No

Mailing Address

2700 Sw Corbeth Ln

Troutdale, OR 970603140

Phone: 5038910749

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.