Marlena E Montgomery, M.A., M.S

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

554 Fort Washington Ave
New York, NY 10033-2003

Phone

(212) 740-5157

NPI assigned

Sep 19, 2008

Sex

Female

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

• Marlena E Marmol Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1568612141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 FORT WASHINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100332003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 FORT WASHINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100332003",
            "telephone_number": "212-740-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MARLENA",
        "middle_name": "E",
        "credential": "M.A., M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENA",
            "last_name": "MARMOL",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Guy H Montgomery, PH.D.
• Isabella Montgomery
• Keysha Mashelle Montgomery I
• Kyawanna Montgomery
• Marissa Montgomery, CASAC-T
• Mary E Montgomery, MS,RD,CDN
• Mary Elizabeth Montgomery, NP-C
• Mia Frances Montgomery, LMSW,LCSW-R
• Morgan Montgomery, M.D.
• Patricia Montgomery, RN

• School Psychologist in New York, NY
• Providers in New York, NY by specialty
• School Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.