Monika Mladenovic

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95028464 Issued in CA

Practice address

16260 Ventura Blvd Ste 630
Encino, CA 91436-2255

Phone

(747) 998-0387

NPI assigned

Aug 3, 2021

Reactivated

Jan 19, 2024

Last updated

Jan 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alliance for Wellness IncGroup PAC ID 9931355617, 58 clinicians

Alliance Wellness CareGroup PAC ID 8628421724, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alliance for Wellness, Inc.

  • Psychiatry Physician
  • Inglewood, CA
  • NPI 1124329131

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Alliance Wellness Care

  • Urgent Care Clinic/Center
  • Woodland Hills, CA
  • NPI 1326724899
  Medicare reassignment Care Compare group NPD
• Health Alliance Socal, Inc

  • Psychiatry Physician
  • Inglewood, CA
  • NPI 1184343055
  Medicare reassignment
• Tamika Henry MD Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1770381436
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Centinela, LLC

  dba Centinela Hospital Medical Center

  • General Acute Care Hospital
  • Inglewood, CA
  • NPI 1336328244
  Care Compare affiliation

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1922772086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD STE 630",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD STE 630",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362255",
            "telephone_number": "747-998-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLADENOVIC",
        "first_name": "MONIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "deactivation_date": "2024-01-12",
        "reactivation_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95028464",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95222082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tejal Mitroo, M.A., BCBA
• Mix Pharmacy Inc (Mix Pharmacy)
• Barbara Mizrahi
• Yehonatan Mizrahi, DDS
• MK Home Health Partners Inc
• Mitra Moaddelly
• Mobile Health Care Services Ca
• Monica Gabriela Mochman
• Madhu Mody
• Marci Moghadam, NP

• Psychiatric/Mental Health Nurse Practitioner in Encino, CA
• Providers in Encino, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.

Verify at the official NPI Registry.