Monrose Clinic Associates for Psychological Medicine

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ME0048902 Issued in FL

Legal business name

MONROSE CLINIC ASSOCIATES FOR PSYCHOLOGICAL MEDICINE

Practice address

3627 University Blvd South Suite 615
Jacksonville, FL 32216-2721

Phone

(904) 725-6463

Fax

(904) 724-5006

NPI assigned

Mar 11, 2008

Organization subpart

Yes

Parent organization

MONROSE CLINIC ASSOCIATES FOR PSYCHOLOGICAL MEDICINEAs reported in NPPES

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

Authorized official

Name

Dr. Atul M Shah, M.D.

Title

Psychiatrists

Phone

(904) 725-6463

Specialties & licenses 1

Addresses

Other identifiers 11

Part of

Monrose Clinic Associates for Psychological Medicine

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rita Wathne Carr, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1245520469
  NPD (past)

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1902076524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S STE 615",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322167401",
            "telephone_number": "904-725-6463",
            "fax_number": "904-724-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD SOUTH SUITE 615",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162721",
            "telephone_number": "904-725-6463",
            "fax_number": "904-724-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROSE CLINIC ASSOCIATES FOR PSYCHOLOGICAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONROSE CLINIC ASSOCIATES FOR PSYCHOLOGICAL MEDICINE",
        "enumeration_date": "2008-03-11",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ATUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHIATRISTS",
        "authorized_official_telephone_number": "904-725-6463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "ME0048902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "081686072",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "081686072",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4115015",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "14203",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "016627000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "05770",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043765400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "05770",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "081686072",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "088657",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA. MEDICAID",
            "identifier": "256262286A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyke D Monroe
• C'Aira Chantell Monroe, CPT
• Donald W Monroe III, MD
• Jessica Monroe, M.S.
• Mark C Monroe, MD
• Daniela Monroy, MD
• Maribel Monsalve, M.D.
• Anabella Monsanto Nunez, BCBA
• Chakari Kanese Monsanto, COTA
• Stephanie M Monsen, PHARMD.

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.