Individual provider Active NPI

Jeannine Monnier, PH.D.

  • Psychologist
  • Charleston, SC
National Provider Identifier
1720137672
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
714 Issued in SC
Practice address
198 Rutledge Ave Ste 6
Charleston, SC 29403-5835
Phone
(843) 697-0867
Fax
(843) 720-8500
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 714 SC
Psychologist 103T00000X 714 SC Primary

Addresses

Primary practice location

198 Rutledge Ave Ste 6
Charleston, SC 29403-5835

Mailing address

198 Rutledge Ave Ste 6
Charleston, SC 29403-5835
Phone (843) 697-0867

Other identifiers 1

IdentifierTypeStateIssuer
PS0308MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20050621000889 SC Practitioner - Clinical Psychologist 8022053073 Reassigns benefits to 1 organization
Practice locations: Charleston, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

198 Rutledge Ave
Suite 6
Charleston, SC 29403-5835
Phone (843) 697-0867

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
714SCMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive & Behavioral Health Center of Charleston, LLC CurrentSince Sep 1, 2014 Accepting new patients

Locations

29 Leinbach Dr
Ste B4
Charleston, SC 29407
Phone (843) 501-7001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1720137672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 RUTLEDGE AVE STE 6",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035835",
            "telephone_number": "843-697-0867",
            "fax_number": "843-720-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 RUTLEDGE AVE STE 6",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035835",
            "telephone_number": "843-697-0867",
            "fax_number": "843-720-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONNIER",
        "first_name": "JEANNINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "714",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SC",
            "license": "714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS0308",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.