Individual provider Active NPI

Kathleen C Montegut, APRN, CS

  • Adult Psychiatric/Mental Health Registered Nurse
  • Yarmouth, ME
National Provider Identifier
1972557056
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
R024482 Issued in ME
Practice address
45 Forest Falls Dr Ste B2
Yarmouth, ME 04096-6999
Phone
(207) 846-1414
Fax
(207) 846-7756
NPI assigned
May 21, 2006
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X R024482 ME Primary

Addresses

Primary practice location

45 Forest Falls Dr Ste B2
Yarmouth, ME 04096-6999

Mailing address

45 Forest Falls Dr Ste B2
Yarmouth, ME 04096-6999
Phone (207) 846-1414

Other identifiers 1

IdentifierTypeStateIssuer
211830000MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090606000000 ME Practitioner - Certified Clinical Nurse Specialist (CNS) 6901839554 Practice locations: Yarmouth, ME

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

45 Forest Falls Dr
Yarmouth, ME 04096-6999
Phone (207) 846-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
R024482MEMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Neurobehavioral Services, P.a. PastSince Jul 28, 2021 Accepting new patients

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": "1148169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1972557056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FOREST FALLS DR STE B2",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966999",
            "telephone_number": "207-846-1414",
            "fax_number": "207-846-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FOREST FALLS DR STE B2",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966999",
            "telephone_number": "207-846-1414",
            "fax_number": "207-846-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEGUT",
        "first_name": "KATHLEEN",
        "middle_name": "C",
        "credential": "APRN, CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-21",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "ME",
            "license": "R024482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211830000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

Verify at the official NPI Registry.