Individual provider Active NPI

Lucinda M Monica, PSYD

  • Psychologist
  • Freehold, NJ
National Provider Identifier
1083838270
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
02484 Issued in NJ
Practice address
90 West Main St
2ND Floor
Freehold, NJ 07728
Phone
(732) 431-1869
Fax
(732) 308-9847
NPI assigned
Apr 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 02484 NJ Primary

Addresses

Primary practice location

90 West Main St
2ND Floor
Freehold, NJ 07728

Mailing address

90 West Main St
2ND Floor
Freehold, NJ 07728
Phone (732) 431-1869

Other identifiers 4

IdentifierTypeStateIssuer
129240000OtherMAGELLAN
0944213OtherAETNA HMO
53761060OtherAETNA
105390OtherMANAGED HEALTH NETWORK

Other names 1

  • Dr. Lucinda M Seares Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20070807000174 NJ Practitioner - Clinical Psychologist 8426149386 Practice locations: Freehold, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

90 W Main St
Suite 2
Freehold, NJ 07728-2145
Phone (732) 431-1869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02484NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083838270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WEST MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-431-1869",
            "fax_number": "732-308-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WEST MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-431-1869",
            "fax_number": "732-308-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONICA",
        "first_name": "LUCINDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "02484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "129240000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0944213",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "53761060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "105390",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCINDA",
            "last_name": "SEARES",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.