Chelsea Nicole Montgomery

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

131851 Issued in CA

Practice address

2050 Lyndell Ter Ste 130
Davis, CA 95616-6205

Phone

(530) 349-1196

NPI assigned

Jul 5, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1013403757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 LYNDELL TER STE 130",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166205",
            "telephone_number": "530-349-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 LYNDELL TER STE 130",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166205",
            "telephone_number": "530-349-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "CHELSEA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "131851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anuj Mogla, MD
• Michael D Molina, M.D.
• Matthew Leo Molitor, DDS
• Pamela Anne Monroe, N.P.
• Zyrah Ivonne Montes
• Alyssa Moore
• Gary Thomas Moore
• Judy Moore
• Mathew Moore
• Samantha Jordan Moore, PT, DPT

• Marriage & Family Therapist in Davis, CA
• Providers in Davis, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.