Organization Active NPI

Kelly H Montel, PA

  • Psychologist
  • Boca Raton, FL
National Provider Identifier
1689892168
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5800 Issued in FL
Legal business name
KELLY H MONTEL, PA
Practice address
660 Glades Rd
#340
Boca Raton, FL 33431-6465
Phone
(561) 213-1373
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Dr. Kelly Huott Montel, PH.D., PANPI 1407060122
Title
President
Phone
(561) 213-1373

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY5800 FL Primary

Addresses

Primary practice location

660 Glades Rd
#340
Boca Raton, FL 33431-6465

Mailing address

2863 Banyan Boulevard Cir NW
Boca Raton, FL 33431-6326

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120604000103 FL Part B Supplier - Clinic/Group Practice 0648446534 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

2101 NW Corporate Blvd
Ste 212
Boca Raton, FL 33431
Phone (561) 994-4681

Practitioners & affiliated clinicians

Practitioners 1

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1689892168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 BANYAN BOULEVARD CIR NW",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GLADES RD",
            "address_2": "#340",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316465",
            "telephone_number": "561-213-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY H MONTEL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "MONTEL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "HUOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-213-1373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., PA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.