Individual provider Active NPI

Monica S Malcein, PHD

  • Clinical Neuropsychologist
  • Wright Patterson Afb, OH
National Provider Identifier
1821182866
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2717 Issued in CO
Practice address
2510 5TH St BLDG 840
Wright Patterson Afb, OH 45433-7951
Phone
(937) 938-2768
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 2717 CO Primary
Clinical Psychologist 103TC0700X 2717 CO

Addresses

Primary practice location

2510 5TH St BLDG 840
Wright Patterson Afb, OH 45433-7951

Mailing address

88 MDG/SGHJ
4881 Sugar Maple Dr
Wright-Patterson Afb, OH 45433-9222
Phone (937) 938-2768

Other practice location 1

880 Scenic Knl
Tipp City, OH 45371-9222
Phone (785) 317-5563

Other names 1

  • Monica Malcein Toros Former name

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1821182866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MDG/SGHJ",
            "address_2": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "454339222",
            "telephone_number": "937-938-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 5TH ST BLDG 840",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454337951",
            "telephone_number": "937-938-2768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 Scenic Knl",
            "address_purpose": "LOCATION",
            "city": "Tipp City",
            "state": "OH",
            "postal_code": "453719222",
            "country_code": "US",
            "telephone_number": "785-317-5563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALCEIN",
        "first_name": "MONICA",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "2717",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "MALCEIN TOROS",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wright Patterson Afb, OH

Sources for this page

Verify at the official NPI Registry.