Monica Federoff MD PHD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MONICA FEDEROFF MD PHD INC

Practice address

143 N Larchmont Blvd FL 2
Los Angeles, CA 90004-3704

Phone

(424) 484-5757

Fax

(424) 732-5490

NPI assigned

Oct 21, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Monica Cory Federoff, MDNPI 1912404492

Title

President

Phone

(585) 329-8393

Specialties & licenses 1

Addresses

Other names 1

• Federoff-Psychiatry Other name

Locations

Practitioners 1

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

• Monica Cory Federoff, MD

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1912404492
  NPD Authorized official

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1437970712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5254 FINO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242014",
            "telephone_number": "585-329-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N LARCHMONT BLVD FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043704",
            "telephone_number": "424-484-5757",
            "fax_number": "424-732-5490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3252 Holiday Ct Ste 209",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371808",
            "country_code": "US",
            "telephone_number": "424-484-5757",
            "fax_number": "424-732-5490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONICA FEDEROFF MD PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "FEDEROFF",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "CORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-329-8393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Federoff-Psychiatry",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Federoff-Psychiatry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Alexandra Breslin Monin, MSN, AGACNP
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• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.