Organization Active NPI

Ingrid L. Montgomery MD MPH PLLC

  • Psychiatry Physician
  • Pearl River, NY
National Provider Identifier
1386334357
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INGRID L. MONTGOMERY MD MPH PLLC
Practice address
189 S Pearl St
Pearl River, NY 10965-2239
Phone
(845) 502-6472
NPI assigned
May 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Dr. Ingrid Montgomery, MDNPI 1487947974
Title
Ceo
Phone
(845) 502-6472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

189 S Pearl St
Pearl River, NY 10965-2239

Mailing address

52 W Prospect St
Nanuet, NY 10954-2621
Phone (845) 502-6472

National Provider Directory

National Provider Directory

Locations

189 S Pearl St
Pearl River, NY 10965
Phone (845) 502-6472

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1386334357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 W PROSPECT ST",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542621",
            "telephone_number": "845-502-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 S PEARL ST",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652239",
            "telephone_number": "845-502-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRID L. MONTGOMERY MD MPH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-502-6472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.