Matthew Colburn Montgomery, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C175020 Issued in CA

Practice address

9440 Santa Monica Blvd Ste 301
Beverly Hills, CA 90210-4614

Phone

(719) 439-4116

NPI assigned

Mar 30, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Matthew Colburn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 22, 2021 through Nov 22, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Choulet Performance Scottsdale LLC

  dba Choulet Performance Psychiatry

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1750957247
  NPD (past)

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1538435771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 SANTA MONICA BLVD STE 301",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104614",
            "telephone_number": "719-439-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 SANTA MONICA BLVD STE 301",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104614",
            "telephone_number": "719-439-4116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7373 N Scottsdale Rd Ste C190",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852533754",
            "country_code": "US",
            "telephone_number": "480-442-9599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MATTHEW",
        "middle_name": "COLBURN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C175020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "COLBURN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gareth Monks, D.C.
• Montaigne Management
• Abraham Montalvo, DDS
• William David Monte Jr., PT, DPT, ATC
• Montesano Spine & Sport West, P.C. (Montesano Spine & Sport West, Inc.)
• Julia Marie Tibayan Montoya
• Nicholas Monzon, M.A.
• Vikram Gangwar Mookerjee, MD
• Edward Anthony Moore, M.D.
• Lisa C. Moore, M.D.

• Psychiatry Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.