Organization Active NPI

Moniza Psychological Services

  • Psychologist
  • Minnetonka, MN
National Provider Identifier
1841522901
Registry record updated Jan 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP4570 Issued in MN
Legal business name
MONIZA PSYCHOLOGICAL SERVICES
Practice address
11900 Wayzata Blvd
Suite 132
Minnetonka, MN 55305-2031
Phone
(952) 236-6188
NPI assigned
Jan 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2010

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

Authorized official

Name
Dr. Caroline R. Moniza, LP
Title
Psychologist
Phone
(612) 964-7946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X LP4570 MN Primary

Addresses

Primary practice location

11900 Wayzata Blvd
Suite 132
Minnetonka, MN 55305-2031

Mailing address

13389 Granada Ave
Apple Valley, MN 55124-7619
Phone (612) 964-7946

National Provider Directory

National Provider Directory

Locations

11900 Wayzata Blvd
Ste 132
Minnetonka, MN 55305
Phone (952) 236-6188

NPI Registry JSON

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

{
    "created_epoch": "1264896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264896000000",
    "number": "1841522901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13389 GRANADA AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247619",
            "telephone_number": "612-964-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 WAYZATA BLVD",
            "address_2": "SUITE 132",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052031",
            "telephone_number": "952-236-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONIZA PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-31",
        "last_updated": "2010-01-31",
        "status": "A",
        "authorized_official_last_name": "MONIZA",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-964-7946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.