Individual provider Active NPI

Ruben Montanez, APRN, PCNS

  • Psychiatric/Mental Health Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1316992019
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401791 Issued in NY
Practice address
1695 Main St FL 400
Springfield, MA 01103-1063
Phone
(413) 739-5572
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP3149972 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401791 NY Primary

Addresses

Primary practice location

1695 Main St FL 400
Springfield, MA 01103-1063

Mailing address

1695 Main St FL 400
Springfield, MA 01103-1063
Phone (413) 739-5572

Other practice location 1

3850 W Flagler St
Coral Gables, FL 33134-1604
Phone (305) 774-3300

Other practice location 2

5361 NW 22nd Ave
Miami, FL 33142-8035
Phone (305) 637-6400

Other identifiers 1

IdentifierTypeStateIssuer
761408000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, MA, CT4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20041025000625 FL Practitioner - Nurse Practitioner 4385611136 Reassigns benefits to 1 organization
I20150114000804 NY Practitioner - Nurse Practitioner 4385611136 Reassigns benefits to 1 organization
I20200303002233 MA Practitioner - Nurse Practitioner 4385611136 Reassigns benefits to 1 organization
I20241105000998 CT Practitioner - Nurse Practitioner 4385611136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norwalk Community Health Center IncGroup PAC ID 6305988510, 29 clinicians
Community Services Institute, Inc.Group PAC ID 8224192968, 16 clinicians

Practice addresses (Care Compare)

120 Connecticut Ave
Norwalk, CT 06854-1525
Phone 20389917708005

1695 Main St
FL 400
Springfield, MA 01103-1063
Phone 4137395572101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norwalk Community Health Center Inc CurrentSince Nov 1, 2024 Accepting new patients
Park Slope Center for Mental Health, Inc CurrentSince Jul 1, 2020 Accepting new patients
Community Services Institute, Inc. CurrentSince Jan 11, 2020 Accepting new patients
Douglas Gardens Community Mental Health Center of Miami Beach, Inc. CurrentSince Mar 11, 2019 Accepting new patients
Comprehensive Community Guidance Center Inc Past Accepting new patients
Trauma & Family Medical Center Past Accepting new patients
Awakenings CMHC Past Accepting new patients
Mental Health Association, Inc. PastSince Mar 24, 2025 Accepting new patients
Miami-Dade Counseling Services Inc Past Accepting new patients
St. John Clinic Medical Center Past Accepting new patients

Locations

120 Connecticut Ave
Norwalk, CT 06854
Phone (203) 851-1000

1680 Meridian Ave
Ste 501
Miami Beach, FL 33139
Phone (305) 531-5341

1695 Main St
Fl 400
Springfield, MA 01103
Phone (413) 739-5572

348 13th St
Ste 203
Brooklyn, NY 11215
Phone (718) 788-5101

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDGCD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1316992019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 MAIN ST FL 400",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031063",
            "telephone_number": "413-739-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 MAIN ST FL 400",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031063",
            "telephone_number": "413-739-5572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3850 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331341604",
            "country_code": "US",
            "telephone_number": "305-774-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5361 NW 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331428035",
            "country_code": "US",
            "telephone_number": "305-637-6400",
            "fax_number": "305-636-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANEZ",
        "first_name": "RUBEN",
        "name_prefix": "Prof.",
        "credential": "APRN, PCNS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP3149972",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761408000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.