Organization Active NPI

Dr Nick Monzon Psychology Inc

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1952169641
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR NICK MONZON PSYCHOLOGY INC
Practice address
1018 Beverly St
San Diego, CA 92114-1113
Phone
(562) 682-8826
NPI assigned
Mar 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Dr. Nicholas Monzon, PSY.D.NPI 1942957303
Title
Doctor of Clinical Psychology
Phone
(562) 682-8826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1018 Beverly St
San Diego, CA 92114-1113

Mailing address

1018 Beverly St
San Diego, CA 92114-1113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240521000779 CA Part B Supplier - Clinic/Group Practice 7618319898 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1952169641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 BEVERLY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921141113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 BEVERLY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921141113",
            "telephone_number": "562-682-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR NICK MONZON PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "MONZON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DOCTOR OF CLINICAL PSYCHOLOGY",
        "authorized_official_telephone_number": "562-682-8826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.