NPIMap

Organization Active NPI

Montgomery Professional Associates, Inc.

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1407076284
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MONTGOMERY PROFESSIONAL ASSOCIATES, INC.
Practice address
4422 Carver Woods Dr
Cincinnati, OH 45242-5536
Phone
(513) 984-2800
Fax
(513) 984-2844
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
R. Mara Kleinman, PH.D.
Title
President
Phone
(513) 984-2800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

4422 Carver Woods Dr
Cincinnati, OH 45242-5536

Mailing address

4422 Carver Woods Dr
Cincinnati, OH 45242-5536
Phone (513) 984-2800

National Provider Directory

National Provider Directory

Locations

4422 Carver Woods Dr
Blue Ash, OH 45242
Phone (513) 984-2800

Practitioners & affiliated clinicians

Practitioners 5

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1407076284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 CARVER WOODS DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425536",
            "telephone_number": "513-984-2800",
            "fax_number": "513-984-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 CARVER WOODS DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425536",
            "telephone_number": "513-984-2800",
            "fax_number": "513-984-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY PROFESSIONAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KLEINMAN",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "MARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-984-2800",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.