Individual provider Active NPI

Paul G. Monkowski, PHD

  • Clinical Psychologist
  • Highland HTS, OH
National Provider Identifier
1245256601
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4037 Issued in OH
Practice address
5564 Wilson Mills Rd Ste 201
Highland HTS, OH 44143-3265
Phone
(440) 461-1255
NPI assigned
Jul 15, 2006
Last updated
Jan 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 198 NE
Clinical Psychologist 103TC0700X 4037 OH Primary

Addresses

Primary practice location

5564 Wilson Mills Rd Ste 201
Highland HTS, OH 44143-3265

Mailing address

5564 Wilson Mills Rd Ste 201
Highland HTS, OH 44143-3265
Phone (440) 461-1255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040826001219 OH Practitioner - Clinical Psychologist 7214902915 Reassigns benefits to 1 organization
Practice locations: Lyndhurst, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Avenues of Counseling and MediationGroup PAC ID 6406931880, 27 clinicians

Practice addresses (Care Compare)

230 S Court St
Suite 5
Medina, OH 44256-2259
Phone (330) 723-7977

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avenues of Counseling and Mediation CurrentSince Aug 5, 2014 Accepting new patients
Lisa Borchert Dba Avenues of Counseling PastSince Aug 5, 2014 Accepting new patients
RGN Counseling LLC Past Accepting new patients
KLS Counseling LLC Past Accepting new patients

Locations

230 S Court St
Ste 5
Medina, OH 44256
Phone (330) 723-7977

Organizations & group practices 4

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1245256601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 WILSON MILLS RD STE 201",
            "city": "HIGHLAND HTS",
            "state": "OH",
            "postal_code": "441433265",
            "telephone_number": "440-461-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5564 WILSON MILLS RD STE 201",
            "city": "HIGHLAND HTS",
            "state": "OH",
            "postal_code": "441433265",
            "telephone_number": "440-461-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONKOWSKI",
        "first_name": "PAUL",
        "middle_name": "G.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "198",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland HTS, OH

Sources for this page

Verify at the official NPI Registry.