Active NPI
Monika Telichowska, PSY.D.
- Clinical Psychologist
- Kentfield, CA
National Provider Identifier
1992991236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 27047
- Practice address
- 1030 Sir Francis Drake Blvd Ste 120
Kentfield, CA 94904-1439 - Phone
- (628) 336-1978
- NPI assigned
- Sep 20, 2007
- Sex
- Female
- 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 27047 | CA | Primary |
Addresses
Primary practice location
1030 Sir Francis Drake Blvd Ste 120
Kentfield, CA 94904-1439
Mailing address
1030 Sir Francis Drake Blvd Ste 120
Kentfield, CA 94904-1439
Phone (628) 336-1978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20150427000286 | CA | Practitioner - Clinical Psychologist | 8224357207 | Practice locations: Kentfield, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 27047 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766620800000",
"number": "1992991236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 SIR FRANCIS DRAKE BLVD STE 120",
"city": "KENTFIELD",
"state": "CA",
"postal_code": "949041439",
"telephone_number": "628-336-1978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 SIR FRANCIS DRAKE BLVD STE 120",
"city": "KENTFIELD",
"state": "CA",
"postal_code": "949041439",
"telephone_number": "628-336-1978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELICHOWSKA",
"first_name": "MONIKA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-20",
"last_updated": "2025-12-25",
"certification_date": "2025-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 27047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kentfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.