Rosario Montgomery, P.H.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

25450 Issued in TX

Practice address

1100 S 33Rd St
Temple, TX 76504-5238

Phone

(254) 314-2212

Fax

(254) 265-7504

NPI assigned

Mar 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• JT&RM PLLC

  • Speech-Language Pathologist
  • Temple, TX
  • NPI 1275141400

  Clinical

  NPD
• Josh Warren MD PA

  • Psychiatry Physician
  • Waco, TX
  • NPI 1528393451
  NPD (past)
• Psylrw, Inc

  • Clinical Psychologist
  • Waco, TX
  • NPI 1205161650
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1164482600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S 33RD ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765045238",
            "telephone_number": "254-314-2212",
            "fax_number": "254-265-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S 33RD ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765045238",
            "telephone_number": "254-314-2212",
            "fax_number": "254-265-7504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2027 S 61ST ST",
            "address_2": "STE 125",
            "address_purpose": "LOCATION",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765046817",
            "country_code": "US",
            "telephone_number": "254-721-0996",
            "fax_number": "254-265-7504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ROSARIO",
        "name_prefix": "Dr.",
        "credential": "P.H.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR/MEDICARE",
            "identifier": "680012940",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0403354-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "82374P",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Grant Mondragon
• Peterson Monestime
• Brian E Monks, MD
• Chelcie Lynn Montez
• Mark L. Montgomery, M.D.
• Wilfred Joseph Montreuil, DDS
• Sheelar Moo
• Meredith Elise Moomaw
• Donald Keith Moon, SOCIAL WORKER
• Keri Leigh Moon, PA

• Clinical Psychologist in Temple, TX
• Providers in Temple, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.