Individual provider Active NPI

Kyle Montgomery

  • Psychiatric/Mental Health Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1346112307
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95036878 Issued in CA
Practice address
2382 Faraday Ave Ste 100
Carlsbad, CA 92008-7219
Phone
(858) 209-9871
Fax
(858) 939-1595
NPI assigned
Sep 19, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95036878 CA Primary

Addresses

Primary practice location

2382 Faraday Ave Ste 100
Carlsbad, CA 92008-7219

Mailing address

2382 Faraday Ave Ste 100
Carlsbad, CA 92008-7219
Phone (858) 209-9871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251112002024 CA Practitioner - Nurse Practitioner 8628569191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspire Psychiatric Nursing Services IncGroup PAC ID 7012278625, 7 clinicians

Practice addresses (Care Compare)

2382 Faraday Ave
Suite 100
Carlsbad, CA 92008-7219
Phone (858) 209-9871

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95036878CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Psychiatric Nursing Services Inc Psychiatric/Mental Health CurrentSince Oct 22, 2025 Accepting new patients
Lilium Psychiatric Nursing Services Inc CurrentSince Sep 21, 2025 Accepting new patients

Locations

2382 Faraday Ave
Ste 100
Carlsbad, CA 92008
Phone (858) 209-9871

Organizations & group practices 2

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": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1346112307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2382 FARADAY AVE STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087219",
            "telephone_number": "858-209-9871",
            "fax_number": "858-939-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2382 FARADAY AVE STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087219",
            "telephone_number": "858-209-9871",
            "fax_number": "858-939-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-19",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95036878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.