Individual provider Active NPI

Rosalind Maxine Monahan, PHD., LCSW

  • Mental Health Counselor
  • Palm Desert, CA
National Provider Identifier
1669555124
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCS16205 Issued in CA
Practice address
77564 Country Club Dr # B
Ste. 405-B
Palm Desert, CA 92211-0484
Phone
(760) 776-2525
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCS16205 CA Primary

Addresses

Primary practice location

77564 Country Club Dr # B
Ste. 405-B
Palm Desert, CA 92211-0484

Mailing address

77564 Country Club Dr # B
405-B
Palm Desert, CA 92211-0484
Phone (760) 776-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050408000942 CA Practitioner - Clinical Social Worker 5496792673 Practice locations: Palm Desert, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

77564 B Country Club Dr
Suite 405B
Palm Desert, CA 92211-0443
Phone (760) 644-0832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1669555124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR # B",
            "address_2": "405-B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110484",
            "telephone_number": "760-776-2525",
            "fax_number": "760-772-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR # B",
            "address_2": "STE. 405-B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110484",
            "telephone_number": "760-776-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAHAN",
        "first_name": "ROSALIND",
        "middle_name": "MAXINE",
        "name_prefix": "Dr.",
        "credential": "PHD., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS16205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.