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Jill Lynn Moland

Psychologist

Behavioral Health & Social Service Providers

360 Mobil Ave, Ste 214, Camarillo, CA 93010-6444

PECOS Enrollment

This provider is enrolled in PECOS as JILL MOLAND.

Based on the most recent information from CMS, provider Jill Lynn Moland is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1164869582
Provider Type
Individual
Full Name
Moland, Jill Lynn
Title
Dr.
Credential
PSYD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/24/2013
Last Updated
10/16/2020

Contact Information

Practice Location

360 Mobil Ave, Ste 214, Camarillo, CA 93010-6444

(805) 322-8683

Unlisted Fax

Mailing Location

360 Mobil Ave, Ste 214, Camarillo, CA 93010-6444

(805) 322-8683

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103TC0700X Primary	Description Psychologist Behavioral Health & Social Service Providers	License PSY25496 California

Jill Lynn Moland

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Vericare Of California Medical Group

Doc Martin Psychological Services, Inc.

Dr. Deborah Digiaro Psychologist, Inc.

Barra, Lisa M.

Bergenstal, Karl William

Allen, Charles Perry

Johnstone, Stacy Hall

Fitch, Stephen M.

Ribeiro, Ashley

Pomilla, Danielle