Individual provider Active NPI

Jessica E. Montalbano, LMFT

  • Marriage & Family Therapist
  • Rochester, NY
National Provider Identifier
1619428968
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001127 Issued in NY
Practice address
100 Pinewild Dr
Suite 2a
Rochester, NY 14606-4200
Phone
(585) 368-6700
Fax
(585) 368-6767
NPI assigned
Oct 21, 2016
Last updated
Oct 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001127 NY Primary

Addresses

Primary practice location

100 Pinewild Dr
Suite 2a
Rochester, NY 14606-4200

Mailing address

100 Pinewild Dr
Suite 2a
Rochester, NY 14606-4200
Phone (585) 368-6700

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001127NYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1619428968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PINEWILD DR",
            "address_2": "SUITE 2A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146064200",
            "telephone_number": "585-368-6700",
            "fax_number": "585-368-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PINEWILD DR",
            "address_2": "SUITE 2A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146064200",
            "telephone_number": "585-368-6700",
            "fax_number": "585-368-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALBANO",
        "first_name": "JESSICA",
        "middle_name": "E.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.