Active NPI
Jennifer Montesi, PH.D.
- Psychologist
- Santa Monica, CA
National Provider Identifier
1548672900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 25940
- Practice address
- 2820 Arizona Ave
Apt 4
Santa Monica, CA 90404-1531 - Phone
- (901) 409-4583
- NPI assigned
- May 20, 2014
- Last updated
- May 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 25940 | CA | Primary |
Addresses
Primary practice location
2820 Arizona Ave
Apt 4
Santa Monica, CA 90404-1531
Mailing address
2820 Arizona Ave
Apt 4
Santa Monica, CA 90404-1531
Phone (901) 409-4583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 12, 2022 through Jan 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25940 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1548672900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 ARIZONA AVE",
"address_2": "APT 4",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041531",
"telephone_number": "901-409-4583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 ARIZONA AVE",
"address_2": "APT 4",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041531",
"telephone_number": "901-409-4583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTESI",
"first_name": "JENNIFER",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-20",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "25940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.