Active NPI
Monica L Lewis, PSYD
- Psychologist
- Richmond, VA
National Provider Identifier
1447332663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810002115
- Practice address
- 1201 Broad Rock Blvd
Richmond, VA 23249-2197 - Phone
- (804) 675-5000
- NPI assigned
- Oct 19, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0810002115 | VA | Primary |
Addresses
Primary practice location
1201 Broad Rock Blvd
Richmond, VA 23249-2197
Mailing address
1201 Broad Rock Blvd
Richmond, VA 23249-0001
Phone (804) 675-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007704593 | Medicaid | VA | |
| 0810002115 | Other | VA | LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CVHCS | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810002115 | VA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1447332663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 BROAD ROCK BLVD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232490001",
"telephone_number": "804-675-5000",
"fax_number": "804-888-9622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 BROAD ROCK BLVD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232492197",
"telephone_number": "804-675-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MONICA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810002115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007704593",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "0810002115",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "CVHCS",
"affiliation": "N",
"endpointDescription": "CVHCS",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CVHCS",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1201 Broad Rock Blvd",
"city": "Richmond",
"state": "VA",
"country_code": "US",
"postal_code": "232490001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.