Parisa Montazeri, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1602 SW 82ND St
Lawton, OK 73505-9012

Phone

(580) 536-0077

Fax

(580) 510-2725

NPI assigned

Oct 8, 2009

Last updated

Nov 11, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1750616710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 SW 82ND ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059012",
            "telephone_number": "580-536-0077",
            "fax_number": "580-510-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 SW 82ND ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059012",
            "telephone_number": "580-536-0077",
            "fax_number": "580-510-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAZERI",
        "first_name": "PARISA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrystal Jean Monigold, ARNP
• Monique Leong OD PLLC (Eye Care on Gore)
• Anthony Shon Monoessy Sr.
• Cindy Monroe
• Morteza Montazeri, M.D.
• Nikki Montes
• Andrea M Montgomery, D.D.S.
• Patrick R Montgomery, D.D.S.
• Katherine Jean Moody, R.P.T.
• Sherry Ranee Moody, BSN, RN

• Psychologist in Lawton, OK
• Providers in Lawton, OK by specialty
• Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.