Active NPI
Nancy K Montagna, PH. D.
- Clinical Psychologist
- Silver Spring, MD
National Provider Identifier
1760674972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 993
- Practice address
- 1110 Fidler LN
#1417
Silver Spring, MD 20910-3425 - Phone
- (301) 587-5735
- NPI assigned
- Aug 11, 2007
- Last updated
- Aug 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 993 | MD | |
| Clinical Psychologist | 103TC0700X | 993 | MD | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 993 | MD | |
| Family Psychologist | 103TF0000X | 993 | MD | |
| Group Psychotherapy Psychologist | 103TP2701X | 993 | MD | |
| Health Psychologist | 103TH0004X | 993 | MD |
Addresses
Primary practice location
1110 Fidler LN
#1417
Silver Spring, MD 20910-3425
Mailing address
1110 Fidler LN
#1417
Silver Spring, MD 20910-3425
Phone (301) 587-5735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2022 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 993 | MD | MD | Group Psychotherapy Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186790400000",
"number": "1760674972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 FIDLER LN",
"address_2": "#1417",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103425",
"telephone_number": "301-587-5735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 FIDLER LN",
"address_2": "#1417",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103425",
"telephone_number": "301-587-5735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTAGNA",
"first_name": "NANCY",
"middle_name": "K",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-11",
"last_updated": "2007-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MD",
"license": "993",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "993",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MD",
"license": "993",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MD",
"license": "993",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "MD",
"license": "993",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "MD",
"license": "993",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.