Organization Active NPI

Dawn Montgomery, PSYD, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Honolulu, HI
National Provider Identifier
1740795277
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
PSY1467 Issued in HI
Legal business name
DAWN MONTGOMERY, PSYD, LLC
Practice address
1111 Bishop St Ste 512
Honolulu, HI 96813-2811
Phone
(808) 492-0296
NPI assigned
Dec 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

Name
Dr. Dawn Elizabeth Montgomery, PSYDNPI 1669542759
Title
Licensed Psychologist
Phone
(808) 492-0296

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X PSY1467 HI Primary

Addresses

Primary practice location

1111 Bishop St Ste 512
Honolulu, HI 96813-2811

Mailing address

745 Isenberg St Apt 902
Honolulu, HI 96826-4500
Phone (808) 492-0296

National Provider Directory

National Provider Directory

Locations

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

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": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1740795277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 ISENBERG ST APT 902",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968264500",
            "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": [],
    "basic": {
        "organization_name": "DAWN MONTGOMERY, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-492-0296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "HI",
            "license": "PSY1467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 6, 2017; 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.