Individual provider Active NPI

Sharon Ryan Montgomery, PSY.D.

  • Clinical Psychologist
  • Morristown, NJ
National Provider Identifier
1801954607
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100193100 Issued in NJ
Practice address
20 Community PL
4TH Floor
Morristown, NJ 07960-7500
Phone
(973) 285-0579
Fax
(973) 539-3687
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 35S100193100 NJ Primary

Addresses

Primary practice location

20 Community PL
4TH Floor
Morristown, NJ 07960-7500

Mailing address

20 Community PL
4TH Floor
Morristown, NJ 07960-7500
Phone (973) 285-0579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120613000248 NJ Practitioner - Clinical Psychologist 7416111984 Practice locations: Morristown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Community PL
FL 4
Morristown, NJ 07960-7500
Phone (973) 285-0579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35S100193100NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801954607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY PL",
            "address_2": "4TH FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607500",
            "telephone_number": "973-285-0579",
            "fax_number": "973-539-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY PL",
            "address_2": "4TH FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607500",
            "telephone_number": "973-285-0579",
            "fax_number": "973-539-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "SHARON",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100193100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.