Individual provider Active NPI

Dawn Elizabeth Montgomery, PSY.D.

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1669542759
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1467 Issued in HI
Practice address
1111 Bishop St Ste 512
Honolulu, HI 96813-2811
Phone
(808) 492-0296
NPI assigned
Nov 8, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 PSY1467 HI Primary

Addresses

Primary practice location

1111 Bishop St Ste 512
Honolulu, HI 96813-2811

Mailing address

745 Isenberg Street
Suite 902
Honolulu, HI 96826
Phone (808) 492-0296

Other practice location 1

1188 Bishop St
Suite 1112
Honolulu, HI 96813-3301
Phone (808) 492-0296

Other identifiers 1

IdentifierTypeStateIssuer
PSY 1467OtherHIPSYCHOLOGIST/CLINICAL

Other names 1

  • Dr. Dawn Elizabeth Helton Former name

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

State licenses

LicenseStateTypeSpecialty
PSY1467HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn Montgomery, PSYD, LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

1111 Bishop St
Ste 512
Honolulu, HI 96813
Phone (808) 445-1858

Organizations & group practices 1

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669542759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 ISENBERG STREET",
            "address_2": "SUITE 902",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96826",
            "telephone_number": "808-492-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BISHOP ST STE 512",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132811",
            "telephone_number": "808-492-0296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1188 Bishop St",
            "address_2": "Suite 1112",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968133301",
            "country_code": "US",
            "telephone_number": "808-492-0296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "DAWN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY1467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST/CLINICAL",
            "identifier": "PSY 1467",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "HELTON",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.