Individual provider Active NPI

Rebecca Monley, PHD

  • Psychologist
  • Cass Lake, MN
National Provider Identifier
1265766034
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP4271 Issued in MN
Practice address
7099 Little Wolf Rd NW
Cass Lake, MN 56633-3122
Phone
(218) 335-2262
NPI assigned
Sep 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP4271 MN Primary

Addresses

Primary practice location

7099 Little Wolf Rd NW
Cass Lake, MN 56633-3122

Mailing address

7099 Little Wolf Rd NW
Cass Lake, MN 56633-3122
Phone (218) 335-2262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP4271MNMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1265766034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7099 LITTLE WOLF RD NW",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566333122",
            "telephone_number": "218-335-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7099 LITTLE WOLF RD NW",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566333122",
            "telephone_number": "218-335-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONLEY",
        "first_name": "REBECCA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cass Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.