Jaime Montgomery
Individual provider Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Mead, OK
NPI 1124705876 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1124705876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Practice address
- 5912 US Hwy 70
Mead, OK 73449 - Phone
- (580) 745-9083
- NPI assigned
- Jul 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Oklahoma Treatment Services, Inc. | Mental Health (Including Community Mental Health Center) | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
5912 US Hwy 70
Mead, OK 73449
Mailing address
226 E Monterey St
Denison, TX 75021-6622
Other providers in Mead, OK
- Phyllis Yvonne Geckler
- Sue E Hoppe
- Jean Ann Ingram
- Crystal McLaren
- Anthony Metiz
- Carol Owens
- Joyce Ann Risner
- Lynsey G Robison
- Zoe Elizabeth Rodgers
- Laura Ann Rogers-Smith
All providers in Mead, OK · Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.