Active NPI
Amanda Montgomery
- Psychologist
- Mountain View, CA
National Provider Identifier
1306214325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 809 Cuesta Dr
Suite B PMB 1065
Mountain View, CA 94040 - Phone
- (415) 843-1523
- NPI assigned
- Sep 8, 2015
- Last updated
- Aug 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary |
Addresses
Primary practice location
809 Cuesta Dr
Suite B PMB 1065
Mountain View, CA 94040
Mailing address
809 Cuesta Dr
Suite B PMB 1065
Mountain View, CA 94040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1306214325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 CUESTA DR",
"address_2": "SUITE B PMB 1065",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "94040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 CUESTA DR",
"address_2": "SUITE B PMB 1065",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "94040",
"telephone_number": "415-843-1523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-08",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.