Sara L Montgomery, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD20050050 Issued in NM

Practice address

108 N Behrend Ave Ste a
Farmington, NM 87401-8418

Phone

(505) 716-2842

NPI assigned

Nov 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1821089400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N BEHREND AVE STE A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018418",
            "telephone_number": "505-716-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N BEHREND AVE STE A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018418",
            "telephone_number": "505-716-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "SARA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD20050050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80456057",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945636",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82679771",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary J Mogensen-Lodeserto
• Dustin Monge
• Joella Montano, CPSW
• Valeria Karina Monterroso Balcarcel
• Jordan Monteverdi, PA-C
• Bob Montoya, CST SFA
• Brittany Montoya
• C. Patrick Montoya, D.D.S.
• Christine Montoya
• Isabelle Kathryn Montoya, CCC-SLP

• Psychiatry Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.