Provider Demographics
NPI:1235127218
Name:TREMAINE, MONIQUE J (PHD, MSCP)
Entity Type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:J
Last Name:TREMAINE
Suffix:
Gender:F
Credentials:PHD, MSCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07716-1347
Mailing Address - Country:US
Mailing Address - Phone:858-204-1717
Mailing Address - Fax:973-799-9283
Practice Address - Street 1:23 GRAND AVE
Practice Address - Street 2:
Practice Address - City:ATLANTIC HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07716-1347
Practice Address - Country:US
Practice Address - Phone:858-204-1717
Practice Address - Fax:973-799-9283
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00438500103TC0700X
NJ051-A243103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0076562Medicaid
NJ0076562Medicaid