Monica Green, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27391 Issued in CA

Practice address

385 Imperial Hwy
Fullerton, CA 92835-1040

Phone

(714) 681-9070

Fax

(714) 773-4788

NPI assigned

Jul 30, 2015

Last updated

Jul 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Monica Stump Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1518342690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 PARKER AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163246",
            "telephone_number": "661-208-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 IMPERIAL HWY",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351040",
            "telephone_number": "714-681-9070",
            "fax_number": "714-773-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MONICA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "STUMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Greater Orange County Ear Nose Throat Head & Neck Surgeons Inc
• Donald Greco, MD
• Timothy G Greco, MD
• Emily Elizabeth Green
• Michael McCutcheon Green, D.O.
• Rebecca Green, M.S., CCC-SLP
• Tiffany Nicole Green, LICENSED MARRIAGE AN
• Brian Greene
• Ciera Greene
• Rachel Lynne Greene

• Clinical Psychologist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.