Golnoush Monfared

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2712 Issued in OR

Practice address

1915 NW Amberglen Pkwy
Suite 400
Beaverton, OR 97006-6951

Phone

(408) 418-6019

NPI assigned

Sep 17, 2008

Last updated

Oct 20, 2016By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1588813380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 NW AMBERGLEN PKWY",
            "address_2": "SUITE 400",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066951",
            "telephone_number": "408-418-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 NW AMBERGLEN PKWY",
            "address_2": "SUITE 400",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066951",
            "telephone_number": "408-418-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONFARED",
        "first_name": "GOLNOUSH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2712",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "27379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley D Molina, M.D.
• Theresa Nmi Moller, PA
• Molly Hamilton LMT
• Monarch Medical Group LLC
• Julieta Mondragon
• Nicholas Robert Mong, P.T., D.P.T., A.T.C.
• Laura Allouette Monroe Wright, CSWA
• Viktoriya D Monroe, MD
• Lena T Monteverdi, QMHP
• Sheila Annette Montgomery, LMT

• Psychologist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.

Verify at the official NPI Registry.