Organization Active NPI

Dr. Henry a. Montgomery

  • Clinical Psychologist
  • Spokane, WA
National Provider Identifier
1629123880
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR. HENRY A. MONTGOMERY
Practice address
905 W Riverside Ave
Suite 501
Spokane, WA 99201-1016
Phone
(509) 744-0778
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Dr. Henry A Montgomery, PHDNPI 1740367002
Title
Psychologist
Phone
(509) 443-6149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

905 W Riverside Ave
Suite 501
Spokane, WA 99201-1016

Mailing address

905 W Riverside Ave
Suite 501
Spokane, WA 99201-1016
Phone (509) 744-0778

Other identifiers 1

IdentifierTypeStateIssuer
0130273OtherWALABOR AND INDUSTRIES

National Provider Directory

National Provider Directory

Locations

905 W Riverside Ave
Ste 501
Spokane, WA 99201
Phone (352) 281-8446

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1629123880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W RIVERSIDE AVE",
            "address_2": "SUITE 501",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011016",
            "telephone_number": "509-744-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W RIVERSIDE AVE",
            "address_2": "SUITE 501",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011016",
            "telephone_number": "509-744-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HENRY A. MONTGOMERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "509-443-6149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0130273",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.