Active NPI
Richard Thomas Monahan, PH.D.
- Clinical Psychologist
- Sudbury, MA
National Provider Identifier
1891721809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 1367
- Practice address
- 147 Powers Rd
Sudbury, MA 01776-1043 - Phone
- (508) 653-6518
- Fax
- (978) 443-9660
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 1367 | MA | Primary |
Addresses
Primary practice location
147 Powers Rd
Sudbury, MA 01776-1043
Mailing address
147 Powers Rd
Sudbury, MA 01776-1043
Phone (508) 653-6518
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0507512 | Medicaid | MA | |
| 712076 | Other | MA | TUFTS HEALTH PLAN |
| W01236 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101109001477 | MA | Practitioner - Clinical Psychologist | 0446445001 | Practice locations: Natick, MA; Sudbury, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
147 Powers Rd
Sudbury, MA 01776-1043
Phone (508) 653-6518
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 1367 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891721809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 POWERS RD",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017761043",
"telephone_number": "508-653-6518",
"fax_number": "978-443-9660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 POWERS RD",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017761043",
"telephone_number": "508-653-6518",
"fax_number": "978-443-9660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONAHAN",
"first_name": "RICHARD",
"middle_name": "THOMAS",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "PSY 1367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0507512",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "712076",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "W01236",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sudbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.