MARY NICOLE MONAHAN
NPI 1699251538
Psychologist - Clinical in Royal Oak, MI

Active since July 13, 2018PECOS EnrolledAccepts Medicare Assignment
38.33/100
CMS Quality Rating
221 S MAIN ST STE 201, ROYAL OAK, MI 48067(248) 398-6459 Get Directions Write a Review

NPPES record last updated: July 13, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Nicole Monahan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY NICOLE MONAHAN (NPI 1699251538) is an individual clinical provider in Royal Oak, Michigan, licensed in Michigan (6301016983) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1699251538
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARY NICOLE MONAHAN
Location Address221 S MAIN ST STE 201Royal Oak, MI 48067-2653
Mailing Address221 S Main St Ste 201Royal Oak, MI 48067-2653 · (248) 398-6459
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 13, 2018
NPI 1699251538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MI · 6301016983
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

221 S MAIN ST STE 201, Royal Oak, MI 48067

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Nicole Monahan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325396922
PECOS Enrollment IDI20180730001127
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
634 services605 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
316 services185 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

38.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality56.66
Improvement Activities0

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
221 S MAIN ST STE 201
ROYAL OAK, MI 48067
Physician Assistant
221 S MAIN ST STE 201
ROYAL OAK, MI 48067
Physician Assistant
221 S MAIN ST STE 201
ROYAL OAK, MI 48067
Physician Assistant
221 S MAIN ST STE 201
ROYAL OAK, MI 48067
Social Worker (Clinical)
221 S MAIN ST STE 201
ROYAL OAK, MI 48067
Psychologist (Clinical)
221 S MAIN ST STE 201
ROYAL OAK, MI 48067
Nurse Practitioner (Gerontology)
221 S MAIN ST STE 201
ROYAL OAK, MI 48067
Social Worker (Clinical)
221 S MAIN ST STE 201
ROYAL OAK, MI 48067

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699251538, enumerated as an "individual" on July 13, 2018.

The provider is located at 221 S MAIN ST STE 201 ROYAL OAK, MI 48067 and the phone number is (248) 398-6459.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.