NPIMap

Organization Active NPI

Serdan Group, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indianapolis, IN
National Provider Identifier
1487821856
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
20040771 Issued in IN
Legal business name
SERDAN GROUP, LLC
Practice address
10585 N Meridian St
Suite 340
Indianapolis, IN 46290-1069
Phone
(317) 580-4007
Fax
(317) 580-4010
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Kimberly G. Montgomery, PH.D., HSPPNPI 1821170861
Title
Psychologist
Phone
(317) 580-4007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 20040771 IN Primary

Addresses

Primary practice location

10585 N Meridian St
Suite 340
Indianapolis, IN 46290-1069

Mailing address

10585 N Meridian St
Suite 340
Indianapolis, IN 46290-1069
Phone (317) 580-4007

Other names 1

  • Kimberly G. Montgomery, PH.D. HSPP Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1487821856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10585 N MERIDIAN ST",
            "address_2": "SUITE 340",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901069",
            "telephone_number": "317-580-4007",
            "fax_number": "317-580-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10585 N MERIDIAN ST",
            "address_2": "SUITE 340",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901069",
            "telephone_number": "317-580-4007",
            "fax_number": "317-580-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERDAN GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "317-580-4007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., HSPP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IN",
            "license": "20040771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberly G. Montgomery, PH.D. HSPP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.