Individual provider Active NPI

Monika Magdalena Stojek, PHD

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1326578170
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PENDING Issued in GA
Practice address
6 Executive Park Dr NE Ste 20
Atlanta, GA 30329-2221
Phone
(404) 992-0977
NPI assigned
Jun 14, 2017
Last updated
Jun 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PENDING GA Primary

Addresses

Primary practice location

6 Executive Park Dr NE Ste 20
Atlanta, GA 30329-2221

Mailing address

121 Northern Ave Apt 1
Decatur, GA 30030-2409
Phone (404) 992-0977

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PENDINGGAMDBody Imaging Physician

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1326578170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NORTHERN AVE APT 1",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302409",
            "telephone_number": "404-992-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EXECUTIVE PARK DR NE STE 20",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292221",
            "telephone_number": "404-992-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOJEK",
        "first_name": "MONIKA",
        "middle_name": "MAGDALENA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.