DR. ROSARIO MONTGOMERY (NPI# 1164482600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164482600 |
| Entity Type | Individual |
| Full Name | DR. ROSARIO MONTGOMERY |
| Credential | P.H.D. |
| Practice Address |
1220 S 49th St Temple TX 76504 |
| Mailing Address |
645 Paisano Trce Belton TX 76513-7897 |
| Practice Telephone | 2547210996 |
| Practice Fax Number | 2542657504 |
| Mailing Telephone | 2547210996 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
25450 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0403354-01 | 05 | |
| TX | RR/MEDICARE | 680012940 | 01 |
| TX | BLUE SHIELD | 82374P | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2401 S 31st St, Temple, TX 765080001 | 2547242111 |
| Street Address |
1220 S 49TH ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
| Find all providers in zip 76504 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407053143 | Delicia S Mclean | Psychologist | 1901 Veteran's Memorial Drive, 116b Mental Health Clinic, Temple, TX 76504 | 2007-06-27 |
| 1871506261 | Charles A Pierce | Psychologist | 4308 Oak Bluff Cir, Temple, TX 76502-3130 | 2006-08-15 |
| 1003876855 | Gary R. Elkins | Psychologist | 2027 S 61st St, Suite 121, Temple, TX 76504-6867 | 2006-03-24 |
| 1225032790 | Frank Anthony Pugliese | Psychologist | 2027 South 61st St., Suite 126, Temple, TX 76504-6817 | 2005-06-11 |
| 1760991384 | Jessica Ramirez Crespo | Psychologist | 2401 S 31st St, Temple, TX 76508-0001 | 2017-09-26 |
| 1821498312 | Katrina Alexander | Psychologist | 1901 S 1st St, Temple, TX 76504-7451 | 2014-09-03 |
| 1700219508 | Candice Ackerman | Psychologist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2013-08-15 |
| 1265785836 | Kentrell Monique Avery | Psychologist | 1901 Veterans Memorial Drive, U.S. Department of Veterans Affairs, Temple, TX 76504 | 2012-10-19 |
| 1134475403 | James Patrick Soeffing | Psychologist | 1901 S 1st St, Temple, TX 76504-7451 | 2012-07-24 |
| 1427335371 | Michael Strand | Psychologist | 7556 Honeysuckle, Temple, TX 76502-5631 | 2011-11-07 |
| Find all providers in TEMPLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.