Organization Active NPI

Monumental Behavioral Health Inc

  • Psychologist
  • Indianapolis, IN
National Provider Identifier
1295205615
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MONUMENTAL BEHAVIORAL HEALTH INC
Practice address
1201 N Post Rd Ste C
Indianapolis, IN 46219-4246
Phone
(317) 405-8333
Fax
(317) 672-2398
NPI assigned
Nov 28, 2018
Last updated
Apr 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Mr. Robert Mochek
Title
Owner
Phone
(317) 370-1254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

1201 N Post Rd Ste C
Indianapolis, IN 46219-4246

Mailing address

1201 N Post Rd Ste C
Indianapolis, IN 46219-4246
Phone (317) 405-8833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190710002526 IN Part B Supplier - Clinic/Group Practice 7416282611 Receives reassigned benefits from 5 practitioners
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

1201 N Post Rd
Ste C
Indianapolis, IN 46219
Phone (317) 405-8333

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1295205615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N POST RD STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194246",
            "telephone_number": "317-405-8833",
            "fax_number": "317-672-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N POST RD STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194246",
            "telephone_number": "317-405-8333",
            "fax_number": "317-672-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENTAL BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "MOCHEK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-370-1254",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.