Active NPI
JQM, Inc
- Clinical Psychologist
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7659
- Legal business name
- JQM, INC
- Practice address
- 344 Paseo Reyes Dr
St Augustine, FL 32095-8464 - Phone
- (904) 347-0751
- NPI assigned
- May 2, 2012
- Last updated
- May 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christy Louise Monaghan, PH.D.
- Title
- President
- Phone
- (904) 347-0751
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7659 | FL | Primary |
Addresses
Primary practice location
344 Paseo Reyes Dr
St Augustine, FL 32095-8464
Mailing address
344 Paseo Reyes Dr
St Augustine, FL 32095-8464
Phone (904) 755-6592
National Provider Directory
National Provider DirectoryLocations
344 Paseo Reyes Dr
St Augustine, FL 32095
Phone (904) 315-6107
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- St Augustine, FL
- NPI 1245312412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335916800000",
"number": "1891053427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 PASEO REYES DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320958464",
"telephone_number": "904-755-6592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 PASEO REYES DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320958464",
"telephone_number": "904-347-0751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JQM, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-02",
"last_updated": "2012-05-02",
"status": "A",
"authorized_official_last_name": "MONAGHAN",
"authorized_official_first_name": "CHRISTY",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-347-0751",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.