Provider Demographics
NPI:1770206500
Name:PINNACLE BEHAVIORAL HEALTH CATARINA MONGE, PSYD. LLC
Entity type:Organization
Organization Name:PINNACLE BEHAVIORAL HEALTH CATARINA MONGE, PSYD. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONGE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:703-489-7280
Mailing Address - Street 1:4107 EVERSHOT DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4498
Mailing Address - Country:US
Mailing Address - Phone:703-489-7280
Mailing Address - Fax:
Practice Address - Street 1:804 MOOREFIELD PARK DR STE 204
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-3670
Practice Address - Country:US
Practice Address - Phone:703-489-7280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty