Active NPI
Michael Richard Montrief, PH.D.
- Psychologist
- Coalinga, CA
National Provider Identifier
1588833180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 14799
- Practice address
- 24511 W Jayne Ave
Coalinga, CA 93210-9503 - Phone
- (917) 969-7547
- NPI assigned
- Feb 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 14799 | CA | Primary |
| Group Psychotherapy Psychologist | 103TP2701X | 14799 | CA |
Addresses
Primary practice location
24511 W Jayne Ave
Coalinga, CA 93210-9503
Mailing address
825 N. Laperla
Anaheim, CA 92801
Phone (714) 471-1158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14799 | CA | MD | Group Psychotherapy Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1588833180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 N. LAPERLA",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92801",
"telephone_number": "714-471-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24511 W JAYNE AVE",
"city": "COALINGA",
"state": "CA",
"postal_code": "932109503",
"telephone_number": "917-969-7547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTRIEF",
"first_name": "MICHAEL",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-27",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "14799",
"primary": true
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "14799",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coalinga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.