Individual provider Active NPI

Joseph Michael Monserrat, PSYD.

  • Clinical Psychologist
  • Latham, NY
National Provider Identifier
1821041062
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
68 016543 Issued in NY
Practice address
3 Lear Jet LN
Suite 105
Latham, NY 12110-2314
Phone
(518) 785-3614
NPI assigned
May 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 68 016543 NY Primary

Addresses

Primary practice location

3 Lear Jet LN
Suite 105
Latham, NY 12110-2314

Mailing address

3 Lear Jet LN
Suite 105
Latham, NY 12110-2314
Phone (518) 785-3614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68 016543NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Disability Services Past Accepting new patients
Behavioral Health Specialists, PLLC Clinical Past Accepting new patients

Organizations & group practices 2

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821041062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LEAR JET LN",
            "address_2": "SUITE 105",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102314",
            "telephone_number": "518-785-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LEAR JET LN",
            "address_2": "SUITE 105",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102314",
            "telephone_number": "518-785-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSERRAT",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSYD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "68 016543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.