Rodea Montgomery, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100627500 Issued in NJ

Practice address

55 Madison Avenue,
Suite 400, PMR 4229
Morristown, NJ 07960-0796

Phone

(973) 283-5284

NPI assigned

May 20, 2020

Last updated

Sep 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 15, 2025 through May 15, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lotus Healing Center LLC

  • Psychologist
  • Morristown, NJ
  • NPI 1215556386
  NPD (past)

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1457974750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MADISON AVE",
            "address_2": "SUITE 400, PMB# 4239",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079607397",
            "telephone_number": "973-283-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MADISON AVENUE,",
            "address_2": "SUITE 400, PMR 4229",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079600796",
            "telephone_number": "973-283-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "RODEA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "023551",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100627500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Mones, MD
• Roxanna Monshi, PHARMD
• Victoria Montemorano
• Kathryn Mary Montgomery, DO
• Kenneth Dale Montgomery, M.D.
• Sharon Ryan Montgomery, PSY.D.
• Moore Family Chiropractic LLC
• Brian Joseph Moore, M.D.
• Michael Whyte Moore, D.M.D.
• Kelsey Moorman, DO

• Psychologist in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.