DR. MONA REDJA PSY.D.
Complete NPI Record 1407183247
Psychologist - Clinical in San Francisco, CA
Active since November 16, 2009
Complete NPI Dataset
This page contains the complete raw NPPES record for Dr. Mona Redja, PSY.D. (NPI 1407183247), an individual psychologist provider in San Francisco, CA. All 27 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1407183247 Field 1/27
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/27
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: REDJA Field 3/27
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: MONA Field 4/27
- The first name of the provider, if the provider is an individual.
- Provider Name Prefix Text: DR. Field 5/27
- The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
- Provider Credential Text: PSY.D. Field 6/27
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider First Line Business Mailing Address: 1 SANSOME ST STE 3500 Field 7/27
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: SAN FRANCISCO Field 8/27
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CA Field 9/27
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 941044436 Field 10/27
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/27
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 9492804554 Field 12/27
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 1 SANSOME ST STE 3500 Field 13/27
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: SAN FRANCISCO Field 14/27
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CA Field 15/27
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 941044436 Field 16/27
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 17/27
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 9492804554 Field 18/27
- The telephone number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 21/27
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 103TC0700X Field 22/27
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: PSY27995 Field 23/27
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: CA Field 24/27
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 25/27
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: N Field 26/27
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 19
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1408 8th St
Location 1/19Alamogordo, NM 88310-5115 · Phone (866) 273-2451 · Fax (866) 608-5560
186 E Sheldon St # 1119
Location 2/19Prescott, AZ 86301-3114 · Phone (866) 273-2451 · Fax (866) 608-5560
2900 E. Broadway Blvd. Ste 100 # 1206
Location 3/19Tuscon, AZ 85716-5344 · Phone (866) 273-2451 · Fax (866) 608-5560
809 W. Riordan Rd. Ste 100, PMB 1113
Location 4/19Tuscon, AZ 86001-0810 · Phone (866) 273-2451 · Fax (866) 608-5560
21168 E Ocotillo Rd # 1078
Location 5/19Queen Creek, AZ 85142-8175 · Phone (866) 273-2451 · Fax (866) 608-5560
2705 S Alma School Rd Ste 2
Location 6/19Chandler, AZ 85286-4400 · Phone (866) 273-2451 · Fax (866) 608-5560
6565 Americas Pkwy NE Ste 200
Location 7/19Albuquerque, NM 87110-8172 · Phone (866) 273-2451 · Fax (866) 608-5560
115 E College Blvd
Location 8/19Roswell, NM 88201-5158 · Phone (866) 273-2451 · Fax (866) 608-5560
1012 Marquez Pl Unit 106B
Location 9/19Santa Fe, NM 87505-1833 · Phone (866) 273-2451 · Fax (866) 608-5560
201 E Las Cruces Ave Ste 1501
Location 10/19Las Cruces, NM 88001-3488 · Phone (866) 273-2451 · Fax (866) 608-5560
2350 W Highway 89A # 1047
Location 11/19Sedona, AZ 86336-5344 · Phone (866) 273-2451 · Fax (866) 608-5560
100 Gossett Dr Ste B
Location 12/19Aztec, NM 87410-4529 · Phone (866) 273-2451 · Fax (866) 608-5560
1224 W 21st St
Location 13/19Clovis, NM 88101-4199 · Phone (866) 273-2451 · Fax (866) 608-5560
500 N Hudson St
Location 14/19Silver City, NM 88061-5435 · Phone (866) 273-2451 · Fax (866) 608-5560
2301 E 20th St
Location 15/19Farmington, NM 87401-8905 · Phone (866) 273-2451 · Fax (866) 608-5560
950 W Aztec Ave
Location 16/19Gallup, NM 87301-6666 · Phone (866) 273-2451 · Fax (866) 608-5560
301 N Canyon St
Location 17/19Carlsbad, NM 88220-5809 · Phone (866) 273-2451 · Fax (866) 608-5560
221 N Kansas St Ste 700
Location 18/19El Paso, TX 79901-1444 · Phone (866) 273-2451 · Fax (866) 608-5560
201 N 4th St
Location 19/19Artesia, NM 88210-2168 · Phone (866) 273-2451 · Fax (866) 608-5560
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