Sandra Montoya, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

640 Issued in NM

Practice address

3900 Juan Tabo Blvd NE
Suite 11
Albuquerque, NM 87111-3984

Phone

(505) 275-6457

Fax

(505) 298-3939

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Sandra L. Montoya, PH.D., PC

  • Clinical Neuropsychologist
  • Albuquerque, NM
  • NPI 1902172281
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447314091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JUAN TABO BLVD NE",
            "address_2": "SUITE 11",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113984",
            "telephone_number": "505-275-6457",
            "fax_number": "505-298-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JUAN TABO BLVD NE",
            "address_2": "SUITE 11",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113984",
            "telephone_number": "505-275-6457",
            "fax_number": "505-298-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F3863",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rayleen Yvette Montoya
• Roxanne D Montoya
• Saavannah Irene Montoya I
• Sabrina Montoya, LCSW
• Sabrina Michelle Montoya
• Sarah Louise Montoya
• Savannah Montoya
• Shallen Nanette Montoya, RN-BC
• Shauna Lynn Montoya, FNP-C
• Shawntel Montoya

• Clinical Neuropsychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Neuropsychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.