Active NPI
Monika Ferreira Queiroz DO Valle, D.O.
- Psychiatry Physician
- San Rafael, CA
National Provider Identifier
1780616201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DOS-2271-0
- Practice address
- 268 Channing Way
San Rafael, CA 94903-2606 - Phone
- (415) 322-8834
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20A11322 | CA | |
| Psychiatry Physician | 2084P0800X | 228415 | MA | |
| Psychiatry Physician | 2084P0800X | DOS-2271-0 | HI | Primary |
Addresses
Primary practice location
268 Channing Way
San Rafael, CA 94903-2606
Mailing address
268 Channing Way
San Rafael, CA 94903-2606
Phone (415) 322-8834
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
- Bachelor of Arts, Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11322 | CA | MD | Mental Health Counselor |
| 228415 | MA | MD | Social Worker |
| DOS-2271-0 | HI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retro Analysis, Inc. | Past | Accepting new patients | |
| First Psychiatric Planners, Inc | Past | Accepting new patients | |
| Mount Auburn Hospital | Past | Accepting new patients | |
| Bournewood Clinical Associates | Psychiatry | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Redlands, CA
- NPI 1487288395
-
- Psychiatric Hospital
- Brookline, MA
- NPI 1093714412
-
- Psychiatric Hospital Unit
- Cambridge, MA
- NPI 1649254491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1780616201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 CHANNING WAY",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949032606",
"telephone_number": "415-322-8834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 CHANNING WAY",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949032606",
"telephone_number": "415-322-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO VALLE",
"first_name": "MONIKA",
"middle_name": "FERREIRA QUEIROZ",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A11322",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "228415",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "DOS-2271-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.