Active NPI
Nicole Metaxas-Monogioudis
- School Psychologist
- Brooklyn, NY
National Provider Identifier
1770833527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1086791
- Practice address
- 420 95TH St
Brooklyn, NY 11209-7404 - Phone
- (917) 607-4351
- NPI assigned
- Sep 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1086791 | NY | Primary |
Addresses
Primary practice location
420 95TH St
Brooklyn, NY 11209-7404
Mailing address
587 16TH St
Brooklyn, NY 11215-5914
Phone (718) 680-9751
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1086791 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1770833527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "587 16TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112155914",
"telephone_number": "718-680-9751",
"fax_number": "718-680-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 95TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112097404",
"telephone_number": "917-607-4351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METAXAS-MONOGIOUDIS",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "1086791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.