Active NPI
Monica Wala
- Psychologist
- Westville, IN
National Provider Identifier
1366035701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20043188A
- Practice address
- 5501 S 1100 W
Westville, IN 46391-9335 - Phone
- (219) 785-2511
- NPI assigned
- Feb 17, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20043188A | IN | Primary |
Addresses
Primary practice location
5501 S 1100 W
Westville, IN 46391-9335
Mailing address
4657 N Canfield Ave
Norridge, IL 60706-4414
Phone (773) 575-5841
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20043188A | IN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1366035701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4657 N CANFIELD AVE",
"city": "NORRIDGE",
"state": "IL",
"postal_code": "607064414",
"telephone_number": "773-575-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 S 1100 W",
"city": "WESTVILLE",
"state": "IN",
"postal_code": "463919335",
"telephone_number": "219-785-2511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALA",
"first_name": "MONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-17",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20043188A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.