JACK MORTON MONCHIK (NPI# 1669529004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669529004 |
| Entity Type | Individual |
| Full Name | JACK MORTON MONCHIK |
| Credential | MD |
| Practice Address |
154 Waterman Street Providence RI 02906-5713 |
| Mailing Address |
151 Slater Ave Providence RI 02906-5713 |
| Practice Telephone | 4013511853 |
| Mailing Telephone | 4013511853 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4594 | RI | Other Service Providers |
| Street Address |
154 WATERMAN STREET |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689886194 | Southcoast Psychology,inc | Psychologist | 154 Waterman Street, 3rd Floor West, Providence, RI 02906 | 2007-05-04 |
| 1942352471 | Emily Borman Spurrell | Psychologist | 154 Waterman Street, Providence, RI 02906 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164847380 | Cheryl Mandel | Specialist | 127 Irving Ave Apt 3, Providence, RI 02906-4544 | 2014-02-25 |
| 1962719773 | Megan Elizabeth Gillard | Specialist | 1000 Eddy Sttreet, Providence, RI 02905 | 2010-09-01 |
| 1053642611 | Robert Patrick Bowe | Specialist | 420 Angell St, Providence, RI 02906-4444 | 2010-01-21 |
| 1972832814 | Deborah A. Newell | Specialist | 10000 Eddy Street, Providence, RI 02905 | 2009-12-23 |
| 1588679385 | Lifespan/physicians Pso Billing Services | Specialist | 167 Point St, Coro 3a, Providence, RI 02903-4771 | 2006-07-30 |
| 1821020231 | Fernanda Goncalves | Specialist | 1000 Eddy Str., Providence, RI 02905 | 2006-07-07 |
| 1437123403 | Rebecca Mary Brown | Specialist | 700 Smith St, Providence, RI 02908 | 2006-02-15 |
| 1861486664 | Martin R Papazian | Specialist | 148 W River St, Suite 2a, Providence, RI 02904-2615 | 2005-09-07 |
| 1558364604 | Marc S Weinberg | Specialist | 1 Randall Sq Ste 304, Providence, RI 02904-2773 | 2005-05-23 |
| 1093264228 | Ty-eisha Rivera | Specialist | 593 Eddy St, Providence, RI 02903-4923 | 2016-09-29 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on JACK MORTON MONCHIK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.