Monique Cleminson, Psy.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007070 Issued in IL

Legal business name

MONIQUE CLEMINSON, PSY.D., P.C.

Practice address

9933 Lawler Ave
Suite 324
Skokie, IL 60077-3703

Phone

(847) 673-9433

Fax

(847) 673-9431

NPI assigned

Aug 29, 2008

Organization subpart

No

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

Authorized official

Name

Monique E. Cleminson Hernandez

Title

President

Phone

(847) 673-9433

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1679721880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE",
            "address_2": "SUITE 324",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773703",
            "telephone_number": "847-673-9433",
            "fax_number": "847-673-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE",
            "address_2": "SUITE 324",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773703",
            "telephone_number": "847-673-9433",
            "fax_number": "847-673-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONIQUE CLEMINSON, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "E. CLEMINSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-673-9433"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPE I NPI (MONIQUE CLEMINSON)",
            "identifier": "1932231461",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Montri Therapy Inc
• Jin K Moon, L. ACU.

• Clinical Psychologist in Skokie, IL
• Providers in Skokie, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.