Individual provider Active NPI

Monique J. Tremaine, PHD, MSCP

  • Clinical Psychologist
  • Atlantic Highlands, NJ
National Provider Identifier
1235127218
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00438500 Issued in NJ
Practice address
23 Grand Ave
Atlantic Highlands, NJ 07716-1347
Phone
(858) 204-1717
Fax
(973) 799-9283
NPI assigned
Oct 12, 2005
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 051-A243 NJ
Clinical Psychologist 103TC0700X 35SI00438500 NJ Primary

Addresses

Primary practice location

23 Grand Ave
Atlantic Highlands, NJ 07716-1347

Mailing address

23 Grand Ave
Atlantic Highlands, NJ 07716-1347
Phone (858) 204-1717

Other practice location 1

201 Pleasant Hill Rd
Chester, NJ 07930-2141
Phone (973) 414-4701

Other identifiers 1

IdentifierTypeStateIssuer
0076562MedicaidNJ

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
I20050711000504 NJ Practitioner - Clinical Psychologist 3779529391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23 Grand Ave
Atlantic Highlands, NJ 07716-1347
Phone (551) 258-3605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00438500NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Neuropsychology LLC Clinical CurrentSince May 24, 2023 Accepting new patients
Cognitiveworks Institute LLC Clinical Neuropsychologist PastSince Apr 28, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1235127218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 GRAND AVE",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161347",
            "telephone_number": "858-204-1717",
            "fax_number": "973-799-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 GRAND AVE",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161347",
            "telephone_number": "858-204-1717",
            "fax_number": "973-799-9283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Pleasant Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "NJ",
            "postal_code": "079302141",
            "country_code": "US",
            "telephone_number": "973-414-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREMAINE",
        "first_name": "MONIQUE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PHD, MSCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "051-A243",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00438500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076562",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Highlands, NJ

Sources for this page

Verify at the official NPI Registry.