Individual provider Active NPI

Angel Christina Montfort, PSY.D.

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1780056994
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9414 Issued in FL
Practice address
13515 Lake Terrace LN
Tampa, FL 33637-1003
Phone
(813) 998-8000
NPI assigned
Oct 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY9414 FL Primary

Addresses

Primary practice location

13515 Lake Terrace LN
Tampa, FL 33637-1003

Mailing address

13515 Lake Terrace LN
Tampa, FL 33637-1003
Phone (813) 998-8000

Other practice location 1

20747 Sterlington Dr
Land O Lakes, FL 34638-4317
Phone (813) 563-6526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY9414FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1780056994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13515 LAKE TERRACE LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336371003",
            "telephone_number": "813-998-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13515 LAKE TERRACE LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336371003",
            "telephone_number": "813-998-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20747 Sterlington Dr",
            "address_purpose": "LOCATION",
            "city": "Land O Lakes",
            "state": "FL",
            "postal_code": "346384317",
            "country_code": "US",
            "telephone_number": "813-563-6526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTFORT",
        "first_name": "ANGEL",
        "middle_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.