Individual provider Active NPI

Sheryl Monaughan, PH.D.

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1437453701
Registry record updated Dec 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY24494 Issued in CA
Practice address
10940 Wilshire Blvd Ste 600
Los Angeles, CA 90024-3940
Phone
(310) 313-0999
NPI assigned
Dec 30, 2010
Last updated
Dec 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2011

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY24494 CA Primary
Addiction (Substance Use Disorder) Psychologist 103TA0400X PSY24494 CA
Adult Development & Aging Psychologist 103TA0700X PSY24494 CA
Cognitive & Behavioral Psychologist 103TB0200X PSY24494 CA
Clinical Psychologist 103TC0700X PSY24494 CA
Counseling Psychologist 103TC1900X PSY24494 CA
Exercise & Sports Psychologist 103TE1100X PSY24494 CA
Family Psychologist 103TF0000X PSY24494 CA
Intellectual & Developmental Disabilities Psychologist 103TM1800X PSY24494 CA
Group Psychotherapy Psychologist 103TP2701X PSY24494 CA
Rehabilitation Psychologist 103TR0400X PSY24494 CA
School Psychologist 103TS0200X PSY24494 CA
Behavior Analyst 103K00000X PSY24494 CA
Psychoanalyst 102L00000X PSY24494 CA
Health Psychologist 103TH0004X PSY24494 CA

Addresses

Primary practice location

10940 Wilshire Blvd Ste 600
Los Angeles, CA 90024-3940

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120426000132 CA Practitioner - Clinical Psychologist 1759543416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10940 Wilshire Blvd
Suite 600
Los Angeles, CA 90024-3940
Phone (310) 313-0999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY24494CAMDBehavioral Analyst
24494CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Sheryl Monaughan PHD, a Psychological Corporation Clinical CurrentSince Dec 30, 2011 Accepting new patients

Locations

10736 Jefferson Blvd
Los Angeles, CA 90230
Phone (310) 313-0999

10940 Wilshire Blvd
Ste 600
Los Angeles, CA 90024
Phone (310) 313-0999

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323475200000",
    "number": "1437453701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10736 JEFFERSON BLVD # 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 STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243940",
            "telephone_number": "310-313-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAUGHAN",
        "first_name": "SHERYL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2011-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY24494",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "PSY24494",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSY24494",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY24494",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24494",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY24494",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "CA",
            "license": "PSY24494",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY24494",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY24494",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSY24494",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "CA",
            "license": "PSY24494",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "PSY24494",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "PSY24494",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "PSY24494",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "PSY24494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.