Tanya Marie Montgomery, MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

118173 Issued in CA

Practice address

15405 Lansdowne Rd Ste C
Tustin, CA 92782-0201

Phone

(714) 258-7710

NPI assigned

May 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

State licenses

Practice roles

Locations

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.

• Psych Lab Psychology, Inc.

  • Clinical Psychologist
  • Long Beach, CA
  • NPI 1811452196
  Medicare reassignment NPD
• Sud Specialty Group - Ca

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238

  Marriage & Family Therapist

  Medicare reassignment NPD
• Rite of Passage Adolescent Treatment Centers and Schools Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Tustin, CA
  • NPI 1093282220
  NPD (past)
• Rite of Passage Adolescent Treatment Centers and Schools Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Tustin, CA
  • NPI 1528543212
  NPD (past)

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1467745182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15405 LANSDOWNE RD STE C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927820201",
            "telephone_number": "714-258-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 LANSDOWNE RD STE C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927820201",
            "telephone_number": "714-258-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "TANYA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "118173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estephany Monge, BMA
• Matthew Anthony Moniaga, DDS
• Christine Monroe, MS, LMFT
• Brittney C Montanez, AMFT
• Cecilia Ivette Montejo, B.A
• Elizabeth A Moore, MFT
• Faith Moore
• Jennifer Nishkian Moore, PA-C
• Lauren Moore, MFTI
• Marie Moore, MA, MFTI

• Marriage & Family Therapist in Tustin, CA
• Providers in Tustin, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.