Caroline Moniza

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

LP4570 Issued in MN

Practice address

2419 Washington Ave
Montevideo, MN 56265

Phone

(320) 321-9732

NPI assigned

Jan 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

State licenses

Practice roles

Locations

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

• Mercy Medical Center

  dba Mercy Family Counseling, Mercy Psychiatric

  • Psychiatry Physician
  • Cedar Rapids, IA
  • NPI 1700834165
  Medicare reassignment NPD
• Moniza Psychological Services

  • Psychologist
  • Minnetonka, MN
  • NPI 1841522901
  Authorized official Same address or phone
• SWWC Service Cooperatives

  • Local Education Agency (LEA)
  • Marshall, MN
  • NPI 1043316235
  NPD
• SWWC Service Cooperatives

  dba The READY Clinic

  • Early Intervention Provider Agency
  • Montevideo, MN
  • NPI 1083175442
  NPD
• Mercy Medical Center

  dba Hall Perrine Cancer Center Pharmacy

  • Community/Retail Pharmacy
  • Cedar Rapids, IA
  • NPI 1114923513
  NPD

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1366420820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 POPLAR ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522413614",
            "telephone_number": "612-964-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 WASHINGTON AVE",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "56265",
            "telephone_number": "320-321-9732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 N Hiawatha Ave",
            "address_purpose": "LOCATION",
            "city": "Pipestone",
            "state": "MN",
            "postal_code": "561642282",
            "country_code": "US",
            "telephone_number": "507-339-4933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "349 W Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MN",
            "postal_code": "562581392",
            "country_code": "US",
            "telephone_number": "507-337-2970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONIZA",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "LP4570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob John Marz, PHARM.D.
• Midwest Vision Centers Inc (Midwest Vision Centers)
• Michael N Milbrandt
• Khalilah Dann Miller
• Minnesota River Valley Education District
• Montevideo Family Dentistry PA
• Angela C Morris
• Moseng Chiropractic PLLP
• Bradley Dean Moseng, D.C.
• Jeanne Murphy, CRNA

• Clinical Child & Adolescent Psychologist in Montevideo, MN
• Providers in Montevideo, MN by specialty
• Clinical Child & Adolescent Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.