Individual provider Active NPI

Montana Ames Queler, PHD

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1649584475
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY11799 Issued in FL
Practice address
3502 Henderson Blvd Ste 321
Tampa, FL 33609-4088
Phone
(917) 780-2504
NPI assigned
Aug 4, 2010
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY11799 FL Primary

Addresses

Primary practice location

3502 Henderson Blvd Ste 321
Tampa, FL 33609-4088

Mailing address

3923 W Leona St
Tampa, FL 33629-7825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260528001789 FL Practitioner - Clinical Psychologist 6103396429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3923 W Leona St
Tampa, FL 33629-7825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY11799FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Montana Queler Mental Health Counseling PLLC Clinical CurrentSince May 1, 2026 Accepting new patients
Safe Foundation Past Accepting new patients
The Safe Foundation, Inc Past Accepting new patients

Locations

3502 Henderson Blvd
Ste 321
Tampa, FL 33609
Phone (561) 862-7789

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1649584475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 W LEONA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 HENDERSON BLVD STE 321",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094088",
            "telephone_number": "917-780-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUELER",
        "first_name": "MONTANA",
        "middle_name": "AMES",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.