Henry A. Montgomery, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 1963 Issued in WA

Practice address

905 W Riverside Ave
Suite 501
Spokane, WA 99201-1016

Phone

(509) 744-0778

Fax

(509) 344-0779

NPI assigned

Nov 1, 2006

Sex

Male

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 1

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.

• Dr. Henry a. Montgomery

  • Clinical Psychologist
  • Spokane, WA
  • NPI 1629123880
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1740367002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W RIVERSIDE AVE",
            "address_2": "SUITE 501",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011016",
            "telephone_number": "509-744-0778",
            "fax_number": "509-344-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W RIVERSIDE AVE",
            "address_2": "SUITE 501",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011016",
            "telephone_number": "509-744-0778",
            "fax_number": "509-344-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "HENRY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY 1963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0130273",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montera Health Washington LLC
• Guadalupe Montes
• Melissa Anne Montesinos, RN
• Anne Marie Montgomery, M.D.
• Bailee Montgomery
• Sterling Gunnar Montgomery, DC
• Thompson Orion Montgomery, MA
• Wendy Lucille Montgomery, AUD
• Elvis Montiel
• Julia Lillian Montiel, CPC

• Psychologist in Spokane, WA
• Providers in Spokane, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.