Active NPI
Amy Monicatti
- Clinical Psychologist
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301011291
- Practice address
- 1708 Roseland Ave
Royal Oak, MI 48073-3978 - Phone
- (248) 514-5371
- NPI assigned
- Jun 16, 2006
- Last updated
- Feb 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00355590 | Other | MI | MEDICARE 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6301011291 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychology Associates of Michigan PC | Clinical | Current | 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.
-
- Clinical Psychologist
- Royal Oak, MI
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Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.