Individual provider Active NPI

Mona Cervi, MA,LLP.

  • Clinical Psychologist
  • Detroit, MI
National Provider Identifier
1720135700
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301008762 Issued in MI
Practice address
16904 W Warren Ave
Detroit, MI 48228-3505
Phone
(313) 581-7287
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301008762 MI Primary

Addresses

Primary practice location

16904 W Warren Ave
Detroit, MI 48228-3505

Mailing address

46818 Elmsmere Dr
Northville, MI 48167-1010
Phone (248) 305-9178

Other identifiers 1

IdentifierTypeStateIssuer
3434247MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcerecords.acc@direct.mihin.net Direct

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
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1720135700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46818 ELMSMERE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671010",
            "telephone_number": "248-305-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16904 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283505",
            "telephone_number": "313-581-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVI",
        "first_name": "MONA",
        "credential": "MA,LLP.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3434247",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcerecords.acc@direct.mihin.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13840 W Warren Ave",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481261425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.