Provider Demographics
NPI:1033300199
Name:ROOTS, MONIKA DRUMMOND (MD)
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:DRUMMOND
Last Name:ROOTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MONIKA
Other - Middle Name:DRUMMOND
Other - Last Name:HELLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:725 WELCH RD
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1601
Mailing Address - Country:US
Mailing Address - Phone:650-497-8000
Mailing Address - Fax:
Practice Address - Street 1:725 WELCH RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1601
Practice Address - Country:US
Practice Address - Phone:650-497-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC1682732084P0804X, 2084P0800X
NC2015-021852084P0804X
NV163902084P0804X
MI43011087482084P0804X
CODR.00558012084P0804X
RIMD150752084P0804X
IL036.1371022084P0804X
MN519342084P0804X
TXQ62722084P0804X
DEC1-00115052084P0804X
LAMD.2079962084P0804X
WI64016-202084P0804X
MA2597462084P0804X
NJ25MA097800002084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry