Active NPI
Erica Mondro Meyer, PSY.D.
- Clinical Neuropsychologist
- Manhattan Beach, CA
National Provider Identifier
1184749889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY20215
- Practice address
- 1112 Ocean Dr
Suite 102
Manhattan Beach, CA 90266-5448 - Phone
- (310) 948-0734
- Fax
- (310) 285-5068
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Neuropsychologist | 103G00000X | PSY20215 | CA | Primary |
Addresses
Primary practice location
1112 Ocean Dr
Suite 102
Manhattan Beach, CA 90266-5448
Mailing address
1902 Shell Ave
Venice, CA 90291-3879
Phone (310) 948-0734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 23, 2025 through Feb 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY20215 | CA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184749889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 SHELL AVE",
"city": "VENICE",
"state": "CA",
"postal_code": "902913879",
"telephone_number": "310-948-0734",
"fax_number": "310-285-5068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 OCEAN DR",
"address_2": "SUITE 102",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902665448",
"telephone_number": "310-948-0734",
"fax_number": "310-285-5068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "ERICA",
"middle_name": "MONDRO",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY20215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan Beach, CA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.