Michelle Colleen Monk, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY10064 Issued in FL

Practice address

3662 Avalon Park East Blvd Ste 2022
Orlando, FL 32828-7760

Phone

(312) 246-0814

NPI assigned

Sep 10, 2011

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1315612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1700168325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 AVALON PARK EAST BLVD STE 2022",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287760",
            "telephone_number": "312-246-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 AVALON PARK EAST BLVD STE 2022",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287760",
            "telephone_number": "312-246-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONK",
        "first_name": "MICHELLE",
        "middle_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-10",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10064",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica'S Comfort Foods LLC
• George Monir, MD
• Reesa Lendry Monir, MD
• Mildride Pierre Monize, ARNP-C
• Lia Kionna Monk
• Carla Monnier, DPT
• Ikram Omar Monroe-Jama
• Evan John Monroe
• Hailey Monroe
• Jashell Monroe

• Clinical Psychologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.