Jeanell Perry-Montgomery, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

010328-1 Issued in NY

Practice address

26 Court St
Suite 26 Room 3
Brooklyn, NY 11242-0103

Phone

(347) 675-3420

NPI assigned

Mar 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jeanell Perry Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217721600000",
    "number": "1811958705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 REDDINGTON DR",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077476647",
            "telephone_number": "732-765-1993",
            "fax_number": "732-765-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST",
            "address_2": "SUITE 26 ROOM 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112420103",
            "telephone_number": "347-675-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY-MONTGOMERY",
        "first_name": "JEANELL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2008-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010328-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANELL",
            "last_name": "PERRY",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carmin Caterina Perrone, CCC-SLP
• Joann Perrone, LCSW
• John A Perrotti, PT
• John Anthony Perrotti, MD
• Olga Perroud, LPN
• Talene Perry-Renwick, N.P.
• Alan Marvin Perry, PHD
• Deloris Perry
• Grey Perry, LMSW
• Ivonne Perry, RN

• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2008; 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.