Individual provider Active NPI

Christine S Moninghoff, D.B.H.

  • Clinical Psychologist
  • North Las Vegas, NV
National Provider Identifier
1487058350
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0711 Issued in NV
Practice address
3890 W Ann Rd
North Las Vegas, NV 89031-4416
Phone
(702) 283-9103
Fax
(855) 790-7046
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY0711 NV
Family Psychologist 103TF0000X PY0711 NV
Health Psychologist 103TH0004X PY0711 NV
Health Service Psychologist 103TH0100X PY0711 NV
Adult Development & Aging Psychologist 103TA0700X PY0711 NV
Clinical Child & Adolescent Psychologist 103TC2200X PY0711 NV
Intellectual & Developmental Disabilities Psychologist 103TM1800X PY0711 NV
Counseling Psychologist 103TC1900X PY0711 NV
Clinical Psychologist 103TC0700X PY0711 NV Primary
Cognitive & Behavioral Psychologist 103TB0200X PY0711 NV

Addresses

Primary practice location

3890 W Ann Rd
North Las Vegas, NV 89031-4416

Mailing address

3890 W Ann Rd
North Las Vegas, NV 89031-4416
Phone (702) 283-9103

Other practice location 1

1901 S Jones Blvd
Las Vegas, NV 89146-1260
Phone (702) 486-6729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20160610000334 NV Practitioner - Clinical Psychologist 9335439918 Reassigns benefits to 1 organization
Practice locations: North Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3890 W Ann Rd
North Las Vegas, NV 89031-4416
Phone (702) 283-9103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY0711NVMDAdult Development & Aging Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada CurrentSince Apr 26, 2016 Accepting new patients
Southern Nevada Adult Mental Health CurrentSince Apr 26, 2016 Accepting new patients
State of Nevada Current Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1487058350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 W ANN RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314416",
            "telephone_number": "702-283-9103",
            "fax_number": "855-790-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 W ANN RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314416",
            "telephone_number": "702-283-9103",
            "fax_number": "855-790-7046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 S Jones Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891461260",
            "country_code": "US",
            "telephone_number": "702-486-6729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONINGHOFF",
        "first_name": "CHRISTINE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.B.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0711",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NV",
            "license": "PY0711",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NV",
            "license": "PY0711",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NV",
            "license": "PY0711",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NV",
            "license": "PY0711",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NV",
            "license": "PY0711",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NV",
            "license": "PY0711",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NV",
            "license": "PY0711",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0711",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NV",
            "license": "PY0711",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.