Organization Active NPI

S. Montgomery MD & Associates Behavioral Healthcare

  • Psychiatry Physician
  • Owensboro, KY
National Provider Identifier
1972902526
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1001935 Issued in KY
Legal business name
S. MONTGOMERY MD & ASSOCIATES BEHAVIORAL HEALTHCARE
Practice address
620 Carlton Drive
Suite 101
Owensboro, KY 42303
Phone
(270) 688-0636
Fax
(270) 688-0638
NPI assigned
Aug 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Mr. Stephen P Montgomery, MD
Title
Ceo
Phone
(270) 686-0636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 1001935 KY Primary

Addresses

Primary practice location

620 Carlton Drive
Suite 101
Owensboro, KY 42303

Mailing address

620 Carlton Drive
Suite 101
Owensboro, KY 42303
Phone (270) 688-0636

National Provider Directory

National Provider Directory

Locations

620 Carlton Dr
Ste 101
Owensboro, KY 42303
Phone (270) 688-0636

620 Carlton Dr
#101
Owensboro, KY 42303
Phone (270) 688-0636

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1972902526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CARLTON DRIVE",
            "address_2": "SUITE 101",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-688-0636",
            "fax_number": "270-688-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CARLTON DRIVE",
            "address_2": "SUITE 101",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-688-0636",
            "fax_number": "270-688-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. MONTGOMERY MD & ASSOCIATES BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-686-0636",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "1001935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.