Individual provider Active NPI

Monica Maldonado

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1316205156
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
100185
Practice address
4420 N 1St St Ste 117B
Fresno, CA 93726-2328
Phone
(831) 243-8891
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 100185 Primary

Addresses

Primary practice location

4420 N 1St St Ste 117B
Fresno, CA 93726-2328

Mailing address

4420 N 1St St Ste 117B
Fresno, CA 93726-2328
Phone (831) 243-8891

Other practice location 1

150 W Gabilan St
Suite 3
Salinas, CA 93901
Phone (183) 124-3889

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valle Central Family Services Marriage & Family Therapist CurrentSince Jul 2, 2023 Accepting new patients
Valle de Salinas Behavioral Health Marriage & Family Therapist PastSince Jul 1, 2023 Accepting new patients

Locations

4420 N 1st St
Ste 117B
Fresno, CA 93726
Phone (831) 243-8891

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1316205156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 N 1ST ST STE 117B",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937262328",
            "telephone_number": "831-243-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 N 1ST ST STE 117B",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937262328",
            "telephone_number": "831-243-8891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 W Gabilan St",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "93901",
            "country_code": "US",
            "telephone_number": "183-124-3889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "100185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.