Active NPI
Monique Gregg, PSYD
- Psychologist
- Quincy, MA
National Provider Identifier
1245267459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 8574
- Practice address
- 1250 Hancock St
Quincy, MA 02169-4339 - Phone
- (617) 774-0920
- NPI assigned
- Jun 26, 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 | 8574 | MA | Primary |
Addresses
Primary practice location
1250 Hancock St
Quincy, MA 02169-4339
Mailing address
147 Milk St
Provider Enrollment 9TH Floor
Boston, MA 02109-4806
Phone (617) 559-8051
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 669497 | Other | MA | TUFTS HEALTH PLAN |
| 0014264 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
Other names 1
- Monique Gillbanks
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 |
|---|---|---|---|---|
| I20061116000356 | MA | Practitioner - Clinical Psychologist | 1355349846 | Practice locations: Braintree, MA |
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)
222 Forbes Rd
Suite 200
Braintree, MA 02184-2720
Phone (617) 997-6873
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239062400000",
"number": "1245267459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 MILK ST",
"address_2": "PROVIDER ENROLLMENT 9TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021094806",
"telephone_number": "617-559-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 HANCOCK ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694339",
"telephone_number": "617-774-0920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGG",
"first_name": "MONIQUE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2009-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "8574",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "669497",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0014264",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MONIQUE",
"last_name": "GILLBANKS",
"credential": "PSYD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.