Individual provider Active NPI

Monica S. Karbassioun, PSY.D.

  • Clinical Psychologist
  • Sierra Madre, CA
National Provider Identifier
1013047596
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
27175 Issued in CA
Practice address
73 W Sierra Madre Blvd
Sierra Madre, CA 91024-2462
Phone
(323) 786-3555
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 27175 CA Primary

Addresses

Primary practice location

73 W Sierra Madre Blvd
Sierra Madre, CA 91024-2462

Mailing address

73 W Sierra Madre Blvd
Sierra Madre, CA 91024-2462
Phone (323) 786-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150825005658 CA Practitioner - Clinical Psychologist 1456667146 Practice locations: Sierra Madre, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

73 W Sierra Madre Blvd
Suite 100
Sierra Madre, CA 91024-2462
Phone (323) 786-3555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monica S Karbassioun Clinical CurrentSince Nov 22, 2017 Accepting new patients

Locations

73 W Sierra Madre Blvd
Ste 100
Sierra Madre, CA 91024
Phone (323) 786-3555

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1013047596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 W SIERRA MADRE BLVD",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242462",
            "telephone_number": "323-786-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 W SIERRA MADRE BLVD",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242462",
            "telephone_number": "323-786-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARBASSIOUN",
        "first_name": "MONICA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Madre, CA

Sources for this page

Verify at the official NPI Registry.