Active NPI
Brianna M Montano, PSYD
- Psychologist
- Appleton, WI
National Provider Identifier
1861045957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3711-57
- Practice address
- W6152 Aerotech Dr
Appleton, WI 54914-7503 - Phone
- (920) 733-2065
- NPI assigned
- Jul 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3711-57 | WI | Primary |
| Professional Counselor | 101YP2500X | 2400-226 | WI |
Addresses
Primary practice location
W6152 Aerotech Dr
Appleton, WI 54914-7503
Mailing address
1090 S Tamiami TRL
Sarasota, FL 34236-9116
Phone (904) 605-4986
Other names 1
- Brianna Obright
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brianna.montano.1@10114.direct.athenahealth.com |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2400-226 | WI | MD | Professional Counselor |
| 3711-57 | WI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1861045957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 S TAMIAMI TRL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342369116",
"telephone_number": "904-605-4986",
"fax_number": "941-460-5599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W6152 AEROTECH DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549147503",
"telephone_number": "920-733-2065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANO",
"first_name": "BRIANNA",
"middle_name": "M",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-18",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "3711-57",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "2400-226",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brianna.montano.1@10114.direct.athenahealth.com",
"affiliation": "N",
"address_1": "1531 S Madison St Ste 580",
"city": "Appleton",
"state": "WI",
"country_code": "US",
"postal_code": "549151800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BRIANNA",
"last_name": "OBRIGHT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.