NPIMap

Organization Active NPI

Montgomery Psychological Services, PLLC

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1225361884
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6301008150 Issued in MI
Legal business name
MONTGOMERY PSYCHOLOGICAL SERVICES, PLLC
Practice address
2131 Bryanston Crescent St
Detroit, MI 48207-3883
Phone
(248) 539-3950
Fax
(313) 567-9855
NPI assigned
Sep 15, 2009
Last updated
Oct 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Dr. Edith R Montgomery, PH.D CLINICAL PSYCHONPI 1962411256
Title
Owner
Phone
(248) 539-3950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6301008150 MI Primary

Addresses

Primary practice location

2131 Bryanston Crescent St
Detroit, MI 48207-3883

Mailing address

32841 Middlebelt Rd
Suite 409
Farmington Hills, MI 48334-1771
Phone (248) 539-3950

National Provider Directory

National Provider Directory

Locations

404 E Grand Blvd
Detroit, MI 48207
Phone (313) 478-1537

32841 Middlebelt Rd
Ste 40
Farmington Hills, MI 48334
Phone (248) 539-3950

32841 Middlebelt Rd
Ste 409
Farmington Hills, MI 48334
Phone (248) 539-3950

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1225361884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32841 MIDDLEBELT RD",
            "address_2": "SUITE 409",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341771",
            "telephone_number": "248-539-3950",
            "fax_number": "313-567-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 BRYANSTON CRESCENT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482073883",
            "telephone_number": "248-539-3950",
            "fax_number": "313-567-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-539-3950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D CLINICAL PSYCHO"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301008150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.