Individual provider Active NPI

Tara Montemurro, M.A., BCBA, LBA

  • Behavior Analyst
  • Middletown, NY
National Provider Identifier
1962637637
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
363 Issued in NY
Practice address
2250 Goshen Tpke
Middletown, NY 10941-4031
Phone
(845) 673-5636
NPI assigned
May 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 841964 NY
Behavior Analyst 103K00000X 363 NY Primary

Addresses

Primary practice location

2250 Goshen Tpke
Middletown, NY 10941-4031

Mailing address

PO Box 586
Goshen, NY 10924-0586
Phone (845) 673-5636

Other names 1

  • Tara Edmonson Former name

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
363NYMDBehavioral Analyst
841964NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tara L. Montemurro, Licensed Behavior Analyst, P.C CurrentSince Feb 9, 2020 Accepting new patients
Tara L. Montemurro, Licensed Behavior Analyst, P.C Behavior Analyst CurrentSince Feb 9, 2020 Accepting new patients

Locations

2250 Goshen Tpke
Middletown, NY 10941
Phone (845) 360-5744

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1243036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1962637637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109240586",
            "telephone_number": "845-673-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 GOSHEN TPKE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414031",
            "telephone_number": "845-673-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEMURRO",
        "first_name": "TARA",
        "credential": "M.A., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-23",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "841964",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "EDMONSON",
            "credential": "M.A., BCBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.