Active NPI
Daniel Francis Mongak, LMFT
- Marriage & Family Therapist
- Eatontown, NJ
National Provider Identifier
1447820329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 37FI00197700
- Practice address
- 1 Main St Ste 314
Eatontown, NJ 07724-3905 - Phone
- (800) 605-0612
- Fax
- (800) 605-0612
- NPI assigned
- Jul 1, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 37FI00197700 | NJ | Primary |
Addresses
Primary practice location
1 Main St Ste 314
Eatontown, NJ 07724-3905
Mailing address
1 Main St Ste 314
Eatontown, NJ 07724-3905
Phone (800) 605-0612
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 |
|---|---|---|---|
| 37FI00197700 | NJ | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Therapy, LLC | Current | Accepting new patients |
Locations
1 Main St
Ste 314
Eatontown, NJ 07724
Phone (484) 626-1202
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 and National Provider Directory roles.
-
- Psychologist
- Eatontown, NJ
- NPI 1861910747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1447820329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MAIN ST STE 314",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077243905",
"telephone_number": "800-605-0612",
"fax_number": "800-605-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MAIN ST STE 314",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077243905",
"telephone_number": "800-605-0612",
"fax_number": "800-605-0612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONGAK",
"first_name": "DANIEL",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-01",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NJ",
"license": "37FI00197700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eatontown, NJ
- Sharon Moleski, MA, LPC, LCADC, NCC
- Molland Spinal Care LLC
- Elizabeth Virginia Molland, D.C.
- Zachary Todd Molland, D.C.
- Stephanie Mondesir
- Monmouth Behavioral Diagnostics, LLC
- Monmouth Cardiology Associates, LLC
- Monmouth Chiropractic Consultants
- Monmouth Digestive Health LLC
- Monmouth Mall Dental, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.