NPIMap

Organization Active NPI

Montes Psychiatric Center, P.C.

  • Psychiatry Physician
  • Rockford, IL
National Provider Identifier
1629694278
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MONTES PSYCHIATRIC CENTER, P.C.
Practice address
6090 Strathmoor Dr Ste 1
Rockford, IL 61107-5200
Phone
(815) 839-8180
Fax
(815) 839-8290
NPI assigned
Jun 19, 2020
Last updated
Nov 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Jose F Montes, MDNPI 1811928716
Title
Owner
Phone
(815) 839-8180

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

6090 Strathmoor Dr Ste 1
Rockford, IL 61107-5200

Mailing address

6090 Strathmoor Dr Ste 1
Rockford, IL 61107-5200
Phone (815) 839-8180

Other practice location 1

717 Trent Ln
Loves Park, IL 61111-8956
Phone (815) 540-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201021000083 IL Part B Supplier - Clinic/Group Practice 5991125585 Receives reassigned benefits from 8 practitioners
Practice locations: Rockford, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2226442Montes Psychiatric Center, P C6090 Strathmoor Dr - Ste 1, Rockford, IL 61107Certificate of waiverMay 31, 2027

National Provider Directory

National Provider Directory

Locations

6090 Strathmoor Dr
Ste 1
Rockford, IL 61107
Phone (815) 444-9999

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1629694278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 STRATHMOOR DR STE 1",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075200",
            "telephone_number": "815-839-8180",
            "fax_number": "815-839-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6090 STRATHMOOR DR STE 1",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075200",
            "telephone_number": "815-839-8180",
            "fax_number": "815-839-8290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 Trent Ln",
            "address_purpose": "LOCATION",
            "city": "Loves Park",
            "state": "IL",
            "postal_code": "611118956",
            "country_code": "US",
            "telephone_number": "815-540-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONTES PSYCHIATRIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-839-8180",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.