Individual provider Active NPI

Laura Monserrat, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1922145010
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
010680-1 Issued in NY
Practice address
510 E 86TH St
Apt 18E
New York, NY 10028-7504
Phone
(212) 628-7692
Fax
(212) 879-5238
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 010680-1 NY Primary

Addresses

Primary practice location

510 E 86TH St
Apt 18E
New York, NY 10028-7504

Mailing address

510 E 86TH St
Apt 18E
New York, NY 10028-7504
Phone (212) 628-7692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040329000000 NY Practitioner - Clinical Psychologist 1850283433 Practice locations: New Rochelle, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

669 Pelham Rd
Apt C13
New Rochelle, NY 10805-1168
Phone (914) 355-2808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
010680-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922145010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E 86TH ST",
            "address_2": "APT 18E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287504",
            "telephone_number": "212-628-7692",
            "fax_number": "212-879-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E 86TH ST",
            "address_2": "APT 18E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287504",
            "telephone_number": "212-628-7692",
            "fax_number": "212-879-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSERRAT",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010680-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.