Sandra L. Montoya, PH.D., PC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

640 Issued in NM

Legal business name

SANDRA L. MONTOYA, PH.D., PC

Practice address

3900 Juan Tabo Blvd NE
Suite 11
Albuquerque, NM 87111-3984

Phone

(505) 275-6457

Fax

(505) 298-3939

NPI assigned

Mar 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Montoya, PH.DNPI 1447314091

Title

President

Phone

(505) 275-6457

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Montoya, PH.D.

  • Clinical Neuropsychologist
  • Albuquerque, NM
  • NPI 1447314091
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1902172281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JUAN TABO BLVD NE",
            "address_2": "SUITE 11",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113984",
            "telephone_number": "505-275-6457",
            "fax_number": "505-298-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JUAN TABO BLVD NE",
            "address_2": "SUITE 11",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113984",
            "telephone_number": "505-275-6457",
            "fax_number": "505-298-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA L. MONTOYA, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-275-6457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1447314091",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Rose Sandoval
• Suzette L Sandoval, EDS
• Tomanda Sandoval
• Vesta Sandoval, MD
• Jennifer M Sandow, PA-C
• Sandra Louise English
• Sandra M. Turner Dba the Rock Counseling & Consulting
• Sands Counseling, LLC
• Heather Sands, PH.D., LPCC
• Valerie R. Sands

• Clinical Neuropsychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Neuropsychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.