Active NPI
Monica Kristine Pentony, PSYD
- Clinical Psychologist
- Frederick, MD
National Provider Identifier
1386876811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 05066
- Practice address
- 10142 Hansonville Rd
Frederick, MD 21702-1919 - Phone
- (240) 405-5800
- NPI assigned
- Aug 18, 2009
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 05066 | MD | Primary |
Addresses
Primary practice location
10142 Hansonville Rd
Frederick, MD 21702-1919
Mailing address
10142 Hansonville Rd
Frederick, MD 21702-1919
Phone (240) 405-5800
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 |
|---|---|---|---|
| 05066 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491696000000",
"number": "1386876811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10142 HANSONVILLE RD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217021919",
"telephone_number": "240-405-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10142 HANSONVILLE RD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217021919",
"telephone_number": "240-405-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENTONY",
"first_name": "MONICA",
"middle_name": "KRISTINE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-18",
"last_updated": "2017-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.