Individual provider Active NPI

Laura W. Monahon, PSYD

  • Clinical Psychologist
  • Woolwich Township, NJ
National Provider Identifier
1740676923
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100539000 Issued in NJ
Practice address
1630 Route 322
Suite C
Woolwich Township, NJ 08085-3701
Phone
(856) 975-6279
NPI assigned
Apr 14, 2015
Last updated
Apr 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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 35S100539000 NJ Primary

Addresses

Primary practice location

1630 Route 322
Suite C
Woolwich Township, NJ 08085-3701

Mailing address

1630 Route 322
Suite C
Woolwich Township, NJ 08085-3701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20191216001052 NJ Practitioner - Clinical Psychologist 4587098074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurobehavioral Wellness CenterGroup PAC ID 1052576659, 2 clinicians

Practice addresses (Care Compare)

1630 Route 322
Unit E
Woolwich Township, NJ 08085-3701
Phone (856) 975-6279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35S100539000NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobehavioral Wellness Center CurrentSince Nov 13, 2019 Accepting new patients

Locations

1630 Route 322
Unit C
Woolwich Township, NJ 08085
Phone (856) 975-6279

1630 Route 322
Unit E
Woolwich Twp, NJ 08085
Phone (856) 418-0808

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1740676923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 ROUTE 322",
            "address_2": "SUITE C",
            "city": "WOOLWICH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080853701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 ROUTE 322",
            "address_2": "SUITE C",
            "city": "WOOLWICH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080853701",
            "telephone_number": "856-975-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAHON",
        "first_name": "LAURA",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100539000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woolwich Township, NJ

Sources for this page

Verify at the official NPI Registry.