Active NPI
Sebastien Robert Edouard Montel, PHD
- Clinical Psychologist
- Mission Viejo, CA
National Provider Identifier
1861054264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY31055
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31055 | CA | MD | Clinical Psychologist |
| 31055 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brain, Science and Technology Integrative Center LLC | Clinical | Current | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- 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.
-
- Clinical Psychologist
- Palm Desert, CA
- NPI 1982573267
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.