Trevor Louis Monroe, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY16406 Issued in CA

Practice address

4401 Atlantic Ave
Second Floor
Long Beach, CA 90807-2218

Phone

(562) 728-4565

Fax

(562) 728-4565

NPI assigned

Sep 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1326140898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 E 63RD ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908053112",
            "telephone_number": "562-728-4565",
            "fax_number": "562-728-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE",
            "address_2": "SECOND FLOOR",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072218",
            "telephone_number": "562-728-4565",
            "fax_number": "562-728-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "TREVOR",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY16406",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16406",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY164060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monina Home Health, Inc.
• Sanaz Monjazeb, MD
• Kimberley Monosson, LMFT
• Aryan Paulette Monroe
• Robert Lee Monroe
• Benjamin Monroy Jr.
• Jeanette Monroy
• Virginia F Monsanto, NP
• Sarah F Monson
• Gonzalo Montalvan, M.D.

• Psychologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.