Active NPI
Lynn Monahan, PH.D.
- Psychologist
- Killingworth, CT
National Provider Identifier
1619908258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2082
- Practice address
- 176 Route 81
Killingworth, CT 06419-1422 - Phone
- (860) 663-2668
- Fax
- (860) 663-2488
- NPI assigned
- Jul 5, 2006
- Last updated
- Sep 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2082 | CT | Primary |
| Psychologist | 103T00000X | 5708 | NY |
Addresses
Primary practice location
176 Route 81
Killingworth, CT 06419-1422
Mailing address
232 Route 80
Killingworth, CT 06419-1406
Phone (860) 663-2668
Other names 1
- Lynn Monahan Clark
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5708 | NY | MD | Psychologist |
| 000601 | CT | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractical Solutions LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Deep River, CT
- NPI 1023241940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1619908258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 ROUTE 80",
"city": "KILLINGWORTH",
"state": "CT",
"postal_code": "064191406",
"telephone_number": "860-663-2668",
"fax_number": "860-663-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 ROUTE 81",
"city": "KILLINGWORTH",
"state": "CT",
"postal_code": "064191422",
"telephone_number": "860-663-2668",
"fax_number": "860-663-2488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONAHAN",
"first_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "2082",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "5708",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "CLARK",
"middle_name": "MONAHAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Killingworth, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.