Provider Demographics
NPI: | 1437453701 |
---|---|
Name: | MONAUGHAN, SHERYL (PHD) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | SHERYL |
Middle Name: | |
Last Name: | MONAUGHAN |
Suffix: | |
Gender: | F |
Credentials: | PHD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 10736 JEFFERSON BLVD # 505 |
Mailing Address - Street 2: | |
Mailing Address - City: | CULVER CITY |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 90230-4933 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 310-313-0999 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 10940 WILSHIRE BLVD STE 600 |
Practice Address - Street 2: | |
Practice Address - City: | LOS ANGELES |
Practice Address - State: | CA |
Practice Address - Zip Code: | 90024-3940 |
Practice Address - Country: | US |
Practice Address - Phone: | 310-313-0999 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2010-12-30 |
Last Update Date: | 2011-12-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | PSY24494 | 103TR0400X, 103T00000X, 103K00000X, 102L00000X, 103TA0400X, 103TA0700X, 103TC0700X, 103TB0200X, 103TC1900X, 103TE1100X, 103TF0000X, 103TP2701X, 103TH0004X, 103TM1800X, 103TS0200X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
No | 103TR0400X | Behavioral Health & Social Service Providers | Psychologist | Rehabilitation |
No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | |
No | 102L00000X | Behavioral Health & Social Service Providers | Psychoanalyst | |
No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) |
No | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | Adult Development & Aging |
No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral |
No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling |
No | 103TE1100X | Behavioral Health & Social Service Providers | Psychologist | Exercise & Sports |
No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family |
No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy |
No | 103TH0004X | Behavioral Health & Social Service Providers | Psychologist | Health |
No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities |
No | 103TS0200X | Behavioral Health & Social Service Providers | Psychologist | School |