Stephanie Montague

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20040937 Issued in IN

Practice address

1600 Shattuck Ave Ste 200
Berkeley, CA 94709

Phone

(317) 506-1666

NPI assigned

Aug 17, 2008

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 1

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": "1218931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1174779540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SHATTUCK AVE STE 200",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091601",
            "telephone_number": "317-506-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SHATTUCK AVE STE 200",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94709",
            "telephone_number": "317-506-1666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Shattuck Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "94709",
            "country_code": "US",
            "telephone_number": "317-506-1666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-17",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200251940A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa Bianca Moncrieffe, RN
• James Mone
• Joan Arline Monheit, LCSW
• Stacey Lynn Monroe
• Louise Monsour, LMFT
• Filippo Montalbano, MS
• Jessica Montellano
• Edlin Montero
• Pelin Ayse Ece Montero
• Elizabeth Montes, AMFT

• Psychologist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.