Organization Active NPI

Montego Medical Consulting, PC

  • Clinical Neuropsychologist
  • New York, NY
National Provider Identifier
1669863254
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
016058 Issued in NY
Legal business name
MONTEGO MEDICAL CONSULTING, PC
Practice address
19 W 34TH St
New York, NY 10001-3006
Phone
(212) 252-3377
NPI assigned
Feb 18, 2015
Last updated
Feb 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Authorized official

Name
Dr. Carlton J. Adams, PHD
Title
Dir. Clinical & Research Services
Phone
(212) 252-3377

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103G00000X 016058 NY Primary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 009091-1 NY

Addresses

Primary practice location

19 W 34TH St
New York, NY 10001-3006

Mailing address

PO Box 121
New York, NY 10156-0121
Phone (212) 252-3377

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1669863254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101560121",
            "telephone_number": "212-252-3377",
            "fax_number": "212-591-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 34TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013006",
            "telephone_number": "212-252-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEGO MEDICAL CONSULTING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIR. CLINICAL & RESEARCH SERVICES",
        "authorized_official_telephone_number": "212-252-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "016058",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009091-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.