Active NPI
Maryjane L. Montalto, PSY. D.
- Clinical Child & Adolescent Psychologist
- Rhinebeck, NY
National Provider Identifier
1851329577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 015561-1
- Practice address
- 18-20 East Market Street
Box 134
Rhinebeck, NY 12572-1606 - Phone
- (845) 876-1241
- Fax
- (845) 229-4038
- NPI assigned
- Jun 29, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 015561-1 | NY | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 015561-1 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 015561-1 | NY | Primary |
| Forensic Psychologist | 103TF0200X | 015561-1 | NY | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 015561-1 | NY | |
| Rehabilitation Psychologist | 103TR0400X | 015561-1 | NY |
Addresses
Primary practice location
18-20 East Market Street
Box 134
Rhinebeck, NY 12572-1606
Mailing address
99 Mountain View Rd
Rhinebeck, NY 12572-2808
Phone (845) 876-1241
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02784958 | Medicaid | NY | |
| 11661034 | Other | NY | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015561-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242950400000",
"number": "1851329577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 MOUNTAIN VIEW RD",
"city": "RHINEBECK",
"state": "NY",
"postal_code": "125722808",
"telephone_number": "845-876-1241",
"fax_number": "845-229-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18-20 EAST MARKET STREET",
"address_2": "BOX 134",
"city": "RHINEBECK",
"state": "NY",
"postal_code": "125721606",
"telephone_number": "845-876-1241",
"fax_number": "845-229-4038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTALTO",
"first_name": "MARYJANE",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2009-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "015561-1",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "015561-1",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "015561-1",
"primary": true
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "NY",
"license": "015561-1",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NY",
"license": "015561-1",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NY",
"license": "015561-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02784958",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11661034",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rhinebeck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.