Individual provider Active NPI

Laura Moncrief, PSY.D.

  • Psychologist
  • Middleburg Heights, OH
National Provider Identifier
1417160615
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
7155 Pearl Rd Ste 102
Middleburg Heights, OH 44130-4945
Phone
(330) 391-9683
NPI assigned
May 7, 2007
Reactivated
May 10, 2021
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

7155 Pearl Rd Ste 102
Middleburg Heights, OH 44130-4945

Mailing address

7155 Pearl Rd Ste 102
Middleburg Heights, OH 44130-4945
Phone (330) 391-9683

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20230606002197 OH Practitioner - Clinical Psychologist 4981061926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7155 Pearl Rd
Suite 102
Middleburg Heights, OH 44130-4945
Phone (330) 391-9683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Moncrief, Psy.D., LLC Psychologist CurrentSince Jan 25, 2023 Accepting new patients

Locations

7155 Pearl Rd
Ste 102
Middleburg Heights, OH 44130
Phone (330) 391-9683

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1417160615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 PEARL RD STE 102",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304945",
            "telephone_number": "330-391-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 PEARL RD STE 102",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304945",
            "telephone_number": "330-391-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCRIEF",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "deactivation_date": "2021-04-12",
        "reactivation_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.