Kathleen Montemagni

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY30412 Issued in CA

Practice address

27201 Puerta Real Ste 300
Mission Viejo, CA 92691-8590

Phone

(949) 500-9639

NPI assigned

Apr 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orange County Neuropsychology, Inc.

  • Clinical Neuropsychologist
  • Mission Viejo, CA
  • NPI 1699395012
  NPD Authorized official

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

{
    "created_epoch": "1587859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587859200000",
    "number": "1154941573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27201 PUERTA REAL STE 300",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918590",
            "telephone_number": "949-500-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27201 PUERTA REAL STE 300",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918590",
            "telephone_number": "949-500-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEMAGNI",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-26",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY30412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn R Monroe, M.S., CRC
• Elaine Baker Montag, PSY.D.
• Serena Montano, DPT
• Laura Kassandra Montejano
• Sebastien Robert Edouard Montel, PHD
• Jeffrey Scott Montgomery, D.D.S.
• Scott Robert Montgomery, OTR/L
• Myles Monton
• Brita Monty, PT, DPT
• Edward Moon, DDS

• Clinical Neuropsychologist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2020; 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.