Active NPI
Renay Marie Montgomery, M.A. LLP CAAC
- Clinical Psychologist
- Battle Creek, MI
National Provider Identifier
1124239256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6361006445
- Practice address
- 360 Capital Ave NE
Battle Creek, MI 49017-4834 - Phone
- (269) 788-8102
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6361006445 | MI | Primary |
| Mental Health Counselor | 101YM0800X | 6301010385 | MI |
Addresses
Primary practice location
360 Capital Ave NE
Battle Creek, MI 49017-4834
Mailing address
P.O. Box 611
Battle Creek, MI 49016-4862
Phone (269) 788-8102
Other practice location 1
6549 Town Center Dr Ste A
Clarkston, MI 48346-4824
Phone (800) 395-3223
Other practice location 2
2300 Jolly Oak Rd
Okemos, MI 48864-3546
Phone (800) 395-3223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301010385 | MI | MD | Mental Health Counselor |
| 6361006445 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1124239256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 611",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490164862",
"telephone_number": "269-788-8102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 CAPITAL AVE NE",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490174834",
"telephone_number": "269-788-8102"
}
],
"practiceLocations": [
{
"address_1": "6549 Town Center Dr Ste A",
"address_purpose": "LOCATION",
"city": "Clarkston",
"state": "MI",
"postal_code": "483464824",
"country_code": "US",
"telephone_number": "800-395-3223",
"fax_number": "833-329-6632",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2300 Jolly Oak Rd",
"address_purpose": "LOCATION",
"city": "Okemos",
"state": "MI",
"postal_code": "488643546",
"country_code": "US",
"telephone_number": "800-395-3223",
"fax_number": "833-329-6632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "RENAY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.A. LLP CAAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6361006445",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6301010385",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.