Active NPI
Martha Monahan, ED.D.
- Counseling Psychologist
- Salem, MA
National Provider Identifier
1225145329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6800
- Practice address
- 70 Washington St
Suite 316
Salem, MA 01970-3518 - Phone
- (978) 745-5144
- Fax
- (978) 741-8982
- NPI assigned
- Aug 24, 2006
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6800 | MA | Primary |
Addresses
Primary practice location
70 Washington St
Suite 316
Salem, MA 01970-3518
Mailing address
70 Washington St
Suite 316
Salem, MA 01970-3518
Phone (978) 745-5144
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015589 | Other | MA | PBH |
| 1895010 | Medicaid | MA | |
| W05438 | Other | MA | BCBS |
| 42712 | Other | MA | MAGELLAN |
| 467505 | Other | MA | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040217000811 | MA | Practitioner - Clinical Psychologist | 1153216361 | Practice locations: Lynnfield, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
22 Hutchins Cir
Lynnfield, MA 01940-1721
Phone (508) 631-0839
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6800 | MA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1225145329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 WASHINGTON ST",
"address_2": "SUITE 316",
"city": "SALEM",
"state": "MA",
"postal_code": "019703518",
"telephone_number": "978-745-5144",
"fax_number": "978-741-8982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 WASHINGTON ST",
"address_2": "SUITE 316",
"city": "SALEM",
"state": "MA",
"postal_code": "019703518",
"telephone_number": "978-745-5144",
"fax_number": "978-741-8982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONAHAN",
"first_name": "MARTHA",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "6800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PBH",
"identifier": "015589",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1895010",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W05438",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "42712",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "467505",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.