Individual provider Active NPI

Sebastien Robert Edouard Montel, PHD

  • Clinical Psychologist
  • Mission Viejo, CA
National Provider Identifier
1861054264
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY31055 Issued in CA
Practice address
27201 Puerta Real Ste 300
Mission Viejo, CA 92691-8590
Phone
(949) 220-6642
NPI assigned
Jul 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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 PSY31055 CA Primary

Addresses

Primary practice location

27201 Puerta Real Ste 300
Mission Viejo, CA 92691-8590

Mailing address

PO Box 80156
Rancho Sta Marg, CA 92688-0156
Phone (949) 220-6642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191018000018 CA Practitioner - Clinical Psychologist 2961733266 Practice locations: Mission Viejo, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

27201 Puerta Real
Suite 300
Mission Viejo, CA 92691-8590
Phone (949) 220-6642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY31055CAMDClinical Psychologist
31055CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brain, Science and Technology Integrative Center LLC Clinical Current Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dr.sebastienr.e.montel.sebastienmontel@143547.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1861054264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80156",
            "city": "RANCHO STA MARG",
            "state": "CA",
            "postal_code": "926880156",
            "telephone_number": "949-220-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27201 PUERTA REAL STE 300",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918590",
            "telephone_number": "949-220-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEL",
        "first_name": "SEBASTIEN",
        "middle_name": "ROBERT EDOUARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.