NPI Code Detail JSON Logo

1770536351 NPI number — GENEVIEVE MARIE MONKS PSYD

NPI Number: 1770536351
Health Care Provider/Practitioner: GENEVIEVE MARIE MONKS PSYD

Information about “1770536351” NPI (GENEVIEVE MARIE MONKS PSYD) exists in 1770536351 in HTML format HTML  |  1770536351 in plain Text format TXT  |  1770536351 in PDF (Portable Document Format) PDF  |  1770536351 in an XML format XML  formats.

NPI Number : 1770536351 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770536351",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MONKS",
    "FirstName": "GENEVIEVE",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1600 9TH ST",
    "SecondLineMailingAddress": "ROOM 205 MAILSTOP 2-3",
    "MailingAddressCityName": "SACRAMENTO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95814-6414",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-654-2431",
    "MailingAddressFaxNumber": "916-654-3186",
    "FirstLinePracticeLocationAddress": "2100 NAPA-VALLEJO HIGHWAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NAPA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94558-6293",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "707-253-5000",
    "PracticeLocationAddressFaxNumber": "707-253-5513",
    "EnumerationDate": "05/18/2006",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "PSY16223",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TF0200X",
          "TaxonomyName": "Forensic Psychologist",
          "LicenseNumber": "PSY16223",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.