Individual provider Active NPI

Cynthia Monahon, PSY.D.

  • Clinical Psychologist
  • Easthampton, MA
National Provider Identifier
1548347883
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3626 Issued in MA
Practice address
123 Union St.
The Button Building #201
Easthampton, MA 01027
Phone
(413) 527-1300
Fax
(413) 527-3100
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3626 MA Primary
Clinical Child & Adolescent Psychologist 103TC2200X 3626 MA

Addresses

Primary practice location

123 Union St.
The Button Building #201
Easthampton, MA 01027

Mailing address

123 Union St.
The Button Building #201
Easthampton, MA 01027
Phone (413) 527-1300

Other identifiers 1

IdentifierTypeStateIssuer
3626OtherMALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160629001136 MA Practitioner - Clinical Psychologist 4981994720 Practice locations: Easthampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 Union St
Suite 300
Easthampton, MA 01027-4100
Phone (413) 527-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3626MAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1548347883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 UNION ST.",
            "address_2": "THE BUTTON BUILDING #201",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "01027",
            "telephone_number": "413-527-1300",
            "fax_number": "413-527-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 UNION ST.",
            "address_2": "THE BUTTON BUILDING #201",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "01027",
            "telephone_number": "413-527-1300",
            "fax_number": "413-527-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAHON",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "3626",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "3626",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3626",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easthampton, MA

Sources for this page

Verify at the official NPI Registry.