Individual provider Active NPI

Monica Marie Powers, PSYD

  • Clinical Psychologist
  • Lake Forest, CA
National Provider Identifier
1265687701
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
29991 Issued in CA
Practice address
26397 Waterford Circle
Lake Forest, CA 92630
Phone
(949) 329-8677
NPI assigned
Nov 25, 2008
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 29991 CA Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

26397 Waterford Circle
Lake Forest, CA 92630

Mailing address

2810 E del Mar Blvd Ste 12
Pasadena, CA 91107-6709
Phone (949) 329-8677

Other practice location 1

44447 10th St W
Lancaster, CA 93534-3324
Phone (661) 726-2630 ext. 4134

Other practice location 2

25396 Mosswood Way
Lake Forest, CA 92630-6470
Phone (949) 329-8677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200130002231 CA Practitioner - Clinical Psychologist 6305272964 Reassigns benefits to 1 organization
Practice locations: Pasadena, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adr Wellness a Professional Psychology CorporationGroup PAC ID 1456764216, 10 clinicians

Practice addresses (Care Compare)

25396 Mosswood Way
Lake Forest, CA 92630-6470

2810 E del Mar Blvd
Suite 12
Pasadena, CA 91107-6709
Phone (626) 585-0041

785 Grand Ave
Suite 212
Carlsbad, CA 92008-2371
Phone (760) 453-7175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adr Wellness a Professional Psychology Corporation CurrentSince Aug 8, 2024 Accepting new patients

Locations

785 Grand Ave
Ste 101
Carlsbad, CA 92008
Phone (760) 720-4964

785 Grand Ave
Ste 212
Carlsbad, CA 92008
Phone (760) 453-7175

Organizations & group practices 1

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": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1265687701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 E DEL MAR BLVD STE 12",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911076709",
            "telephone_number": "949-329-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26397 WATERFORD CIRCLE",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "92630",
            "telephone_number": "949-329-8677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44447 10th St W",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935343324",
            "country_code": "US",
            "telephone_number": "661-726-2630 x4134",
            "fax_number": "661-952-1030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25396 Mosswood Way",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "CA",
            "postal_code": "926306470",
            "country_code": "US",
            "telephone_number": "949-329-8677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "MONICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "29991",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

Verify at the official NPI Registry.