Active NPI
Mona Ghosheh, PHD
- Counseling Psychologist
- Austin, TX
National Provider Identifier
1336669316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 36702
- Practice address
- 2028 E Ben White Blvd # 240-8200
Austin, TX 78741-6966 - Phone
- (512) 586-7001
- NPI assigned
- Jun 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 36702 | TX | Primary |
Addresses
Primary practice location
2028 E Ben White Blvd # 240-8200
Austin, TX 78741-6966
Mailing address
2028 E Ben White Blvd # 240-8200
Austin, TX 78741-6966
Phone (512) 586-7001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36702 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1336669316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 E BEN WHITE BLVD # 240-8200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787416966",
"telephone_number": "512-586-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2028 E BEN WHITE BLVD # 240-8200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787416966",
"telephone_number": "512-586-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHOSHEH",
"first_name": "MONA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "36702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.