Organization Active NPI

Dr. Sheryl Monaughan PHD, a Psychological Corporation

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1376813980
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR. SHERYL MONAUGHAN PHD, A PSYCHOLOGICAL CORPORATION
Practice address
10940 Wilshire Blvd
600
Los Angeles, CA 90024-3915
Phone
(310) 313-0999
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Authorized official

Name
Dr. Sheryl Monaughan, PHDNPI 1437453701
Title
Ceo
Phone
(310) 313-0999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X CA Primary

Addresses

Primary practice location

10940 Wilshire Blvd
600
Los Angeles, CA 90024-3915

Mailing address

10736 Jefferson Blvd
505
Culver City, CA 90230-4933
Phone (310) 313-0999

Other identifiers 1

IdentifierTypeStateIssuer
1437453701OtherCANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120426000103 CA Part B Supplier - Clinic/Group Practice 9133381890 Receives reassigned benefits from 1 practitioner
Practice locations: Culver City, CA; Los Angeles, CA; Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

Locations

5601 W Slauson Ave
Ste 266
Los Angeles, CA 90230
Phone (310) 313-0999

8659 Red Oak St
Ste F
Rancho Cucamonga, CA 91730
Phone (310) 313-0999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1376813980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10736 JEFFERSON BLVD",
            "address_2": "505",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304933",
            "telephone_number": "310-313-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10940 WILSHIRE BLVD",
            "address_2": "600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243915",
            "telephone_number": "310-313-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHERYL MONAUGHAN PHD, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "MONAUGHAN",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-313-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437453701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.