Cynthia Montgomery, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8862 Issued in CA

Practice address

901 Sara CT Apt 230
Vacaville, CA 95687-6280

Phone

(415) 599-6844

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Brighter Day Health, LLC

  • Geriatric Psychiatry Physician
  • Houston, TX
  • NPI 1609197110

  Clinical

  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1720006190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SARA CT APT 230",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876280",
            "telephone_number": "415-599-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SARA CT APT 230",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876280",
            "telephone_number": "415-599-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "8862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493616312",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA LICENSE",
            "identifier": "729",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cora Monce
• Deborah Ann Mondock
• Ahna Marie Montague
• Ana Isabel Montano
• Shanai Me'Lisa Montano
• Rosalind Montgomery, RPH
• Leah Lauren Moore, PHARMD, PA-C
• Savannah Noel Moore
• Shannon Victoria Moore, PHD
• Sonye Moore, MA

• Clinical Psychologist in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.