Montgomery Behavioral Health Institute, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34857 Issued in TX

Legal business name

MONTGOMERY BEHAVIORAL HEALTH INSTITUTE, LLC

Practice address

2506 S Lancaster Rd
Dallas, TX 75216-2532

Phone

(214) 356-0335

NPI assigned

Apr 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Teresa L. Jackson, PSY.D.

Title

Clinical Psychologist

Phone

(214) 356-0335

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1235420076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 N CENTRAL EXPY",
            "address_2": "SUITE 110 PMB 231",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752162532",
            "telephone_number": "214-356-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY BEHAVIORAL HEALTH INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "214-356-0335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Montes
• Melissa Montesdeoca
• Marcus Montez
• Montfort Surgical Center LLC
• Corley Montfort, OTR
• Montgomery Montgomery Inc.
• Ashante Brionne Montgomery, LCSW
• Ashley Montgomery, NNP
• Cassandra Montgomery, LPC, LMFT
• Chasidy Montgomery

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.