Individual provider Active NPI

Amy Monicatti

  • Clinical Psychologist
  • Royal Oak, MI
National Provider Identifier
1043254014
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301011291 Issued in MI
Practice address
1708 Roseland Ave
Royal Oak, MI 48073-3978
Phone
(248) 514-5371
NPI assigned
Jun 16, 2006
Last updated
Feb 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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 6301011291 MI Primary

Addresses

Primary practice location

1708 Roseland Ave
Royal Oak, MI 48073-3978

Mailing address

1708 Roseland Ave
Royal Oak, MI 48073-3978
Phone (248) 514-5371

Other identifiers 1

IdentifierTypeStateIssuer
P00355590OtherMIMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20041216000134 MI Practitioner - Clinical Psychologist 4880651355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33875 Kiely Dr
Chesterfield, MI 48047-3604
Phone (248) 514-5371

9150 Allen Rd
Allen Park, MI 48101-1436
Phone (248) 514-5371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301011291MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Associates of Michigan PC Clinical CurrentSince Jan 1, 2005 Accepting new patients
Rd Senior Care Services PC Clinical Past Accepting new patients
Rehabilitation Associates of the Midwest, S.C. Clinical Past Accepting new patients

Locations

9150 Allen Rd
Allen Park, MI 48101
Phone (313) 386-2150

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1043254014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 ROSELAND AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733978",
            "telephone_number": "248-514-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 ROSELAND AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733978",
            "telephone_number": "248-514-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONICATTI",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00355590",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.