SUN MOON PSY.D. NPI 1982142675

NPI Information

  • NPI: 1982142675
  • Provider Name: SUN MOON, PSY.D.
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Individual
  • Address: 3300 HENRY AVE
    THREE FALL CENTER, SUITE 302
    PHILADELPHIA, PA
    ZIP 19129
  • Phone: (215) 924-0684

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NPI Details

Sun Moon, PSY.D. is a clinical child and adolescent psychologist in Philadelphia, PA. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. Sun Moon, PSY.D. NPI is 1982142675. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3300 HENRY AVE
THREE FALL CENTER, SUITE 302
PHILADELPHIA, PA
ZIP 19129-121
Phone: (215) 924-0684
Fax: (215) 924-3805

The enumeration date for this NPI number is 2/2/2017 and was last updated on 2/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & BehavioralPS015809PENNSYLVANIANo
2103TC0700XPsychologistClinicalPS015809PENNSYLVANIANo
3103TC2200XPsychologistClinical Child & AdolescentPS015809PENNSYLVANIAYes
4103TM1800XPsychologistIntellectual and Developmental DisabilitiesPS015809PENNSYLVANIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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