Individual provider Active NPI

Kelly Huott Montel, PH.D. ,

  • Psychologist
  • Boca Raton, FL
National Provider Identifier
1407060122
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5800 Issued in FL
Practice address
660 Glades Rd
#340
Boca Raton, FL 33431-6465
Phone
(561) 213-1373
Fax
(561) 241-3174
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY5800 FL Primary

Addresses

Primary practice location

660 Glades Rd
#340
Boca Raton, FL 33431-6465

Mailing address

2863 Banyan Boulevard Cir NW
Boca Raton, FL 33431-6326
Phone (561) 213-1373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120604000168 FL Practitioner - Clinical Psychologist 6608036207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Miami, LM Miller School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2101 NW Corp Blvd
Suite 212
Boca Raton, FL 33431-7319
Phone (561) 213-1373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY5800FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly H Montel, PA Psychologist CurrentSince Nov 5, 2011 Accepting new patients

Locations

660 Glades Rd
Ste 340
Boca Raton, FL 33431
Phone (561) 392-7508

2101 NW Corporate Blvd
Ste 212
Boca Raton, FL 33431
Phone (561) 994-4681

Organizations & group practices 1

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1407060122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 BANYAN BOULEVARD CIR NW",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316326",
            "telephone_number": "561-213-1373",
            "fax_number": "561-241-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GLADES RD",
            "address_2": "#340",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316465",
            "telephone_number": "561-213-1373",
            "fax_number": "561-241-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEL",
        "first_name": "KELLY",
        "middle_name": "HUOTT",
        "credential": "PH.D. ,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.