Active NPI
Monique Massa Miller, MS LP
- Psychologist
- Buffalo, MN
National Provider Identifier
1144254277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3375
- Practice address
- 308 12TH Ave S
Buffalo, MN 55313-2321 - Phone
- (763) 682-4400
- Fax
- (763) 682-1353
- NPI assigned
- Jul 11, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP3375 | MN | Primary |
Addresses
Primary practice location
308 12TH Ave S
Buffalo, MN 55313-2321
Mailing address
1321 13TH St N
St Cloud, MN 56303-2614
Phone (320) 252-5010
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 922241042329 | Other | PREFERRED ONE | |
| 922S7MI | Other | BCBS | |
| 6178046 | Other | MEDICA | |
| HP48657 | Other | HEALTH PARTNERS |
Other names 1
- Ms. Monique Marie Massa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3375 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144254277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 13TH ST N",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "563032614",
"telephone_number": "320-252-5010",
"fax_number": "320-203-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 12TH AVE S",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553132321",
"telephone_number": "763-682-4400",
"fax_number": "763-682-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MONIQUE",
"middle_name": "MASSA",
"name_prefix": "Mr.",
"credential": "MS LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "922241042329",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "922S7MI",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6178046",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP48657",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MONIQUE",
"last_name": "MASSA",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "MS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Buffalo, MN
- Cindy Meyer, MA, LMFT, LADC
- Erin E Meyer, DDS
- Susan Lynn Meyer, REGISTERED NURSE
- Fortunata Grace Milano, MD
- Mary Lee Miller, RN
- Rebekka Aili Miller
- Robert Milligan, MD
- Tara Rose Minerich, RN
- Minnesota Teen Challenge, Inc (Rockbridge Treatment and Recovery)
- Minnesota Teen Challenge, Inc. (MN Adult & Teen Challenge, Inc.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.