Individual provider Active NPI

Monisha Anupam Motiwala, PSYD

  • Clinical Psychologist
  • Princeton, NJ
National Provider Identifier
1851795678
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00531400 Issued in NJ
Practice address
1000 Herrontown Rd
1 Story Building
Princeton, NJ 08540-7716
Phone
(609) 613-4754
NPI assigned
Oct 22, 2014
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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 35SI00531400 NJ Primary

Addresses

Primary practice location

1000 Herrontown Rd
1 Story Building
Princeton, NJ 08540-7716

Mailing address

601 Ewing St
Ste C20A
Princeton, NJ 08540-2758
Phone (609) 250-2567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217002756 NC Practitioner - Clinical Psychologist 5193252054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

2213 Elba St
Durham, NC 27705-3934
Phone (919) 684-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00531400NJMDClinical Psychologist
6072NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Duke University Health System, Inc. Clinical CurrentSince Jan 1, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Duke University Health System, Inc. Current Accepting new patients
Princeton Psychology Associates, LLC Past Accepting new patients

Locations

2213 Elba St
Durham, NC 27705
Phone (919) 681-9503

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

Interoperability endpoints

  • Direct secure messaging: monisha.motiwala.1@16901.direct.athenahealth.com

Organizations & group practices 5

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": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1851795678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EWING ST",
            "address_2": "STE C20A",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402758",
            "telephone_number": "609-250-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HERRONTOWN RD",
            "address_2": "1 STORY BUILDING",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407716",
            "telephone_number": "609-613-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTIWALA",
        "first_name": "MONISHA",
        "middle_name": "ANUPAM",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00531400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.