AMANDA MONTGOMERY


Address: 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129
Phone: 4084571614

AMANDA MONTGOMERY (NPI# 1306214325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306214325
Entity Type Individual
Full Name AMANDA MONTGOMERY
Practice Address 4300 Stevens Creek Blvd Ste 260
San Jose
CA 95129
Mailing Address 3124 International Blvd
Oakland
CA 94601-2902
Practice Telephone 4084571614
Enumeration Date 2015-09-08
Last Update Date 2019-12-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3124 International Blvd, Oakland, CA 946012902 5104345421
4851 Independence St, Wheat Ridge, CO 800336715 3034250300

Other Providers AMANDA MONTGOMERY

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1215353669 Amanda Montgomery Counselor 621 Line Street, Belcher, LA 71004-0033 2014-03-10
1417236803 Amanda Montgomery Optometrist 812 Coshocton Ave # 3, Mount Vernon, OH 43050-1947 2011-08-16
1326345307 Amanda Carroll Montgomery Speech-Language Pathologist 205 S Bishop Ave, Secane, PA 19018-2019 2011-02-28
1235598657 Amanda Mae Montgomery Emergency Medicine 1700 Mount Vernon Ave, Bakersfield, CA 93306 2016-02-12
1740648690 Amanda Ruth Montgomery Social Worker 10 Park Place South Se, Atlanta, GA 30303-2913 2016-02-08
1790153088 Amanda Montgomery Hearing Instrument Specialist 1550 E Morris Blvd, Morristown, TN 37813-2153 2015-09-03
1316283880 Amanda H Montgomery Social Worker 4968 Glenway Ave, Cincinnati, OH 45238-3902 2013-01-02
1437437068 Amanda Marie Montgomery Physical Therapist 2819 Midway Rd Se Ste 114, Bolivia, NC 28422-8003 2011-08-01
1821272337 Amanda C Montgomery Counselor 3737 Portland Rd Ne, Salem, OR 97301-0311 2007-12-19
1518076371 Amanda L. Montgomery Social Worker 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2944 2006-08-29

Office Location

Street Address 4300 STEVENS CREEK BLVD STE 260
City SAN JOSE
State CA
Zip Code 95129

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528535176 Sunlife Acupuncture Health Center Inc. Acupuncturist 6172 Bollinger Rd., San Jose, CA 95129 2018-10-31
1710472642 Shen Zhang Acupuncturist 1072 S De Anza Blvd Ste A108, San Jose, CA 95129 2018-06-23
1023531217 Rachana Vyas Dds Inc Clinic/Center 1002 S Deanza Blvd, #d, San Jose, CA 95129 2017-07-20
1477908119 Emily O. Perrotta Marriage & Family Therapist 1745 Saratoga Ave #204, San Jose, CA 95129 2016-05-02
1891065686 Bobbie Edwards Behavioral Analyst 1479 Saratoga Ave, San Jose, CA 95129 2012-01-10
1659640753 Gail Elizabeth Nabarrete Social Worker 780 Saratoga Ave, S310, San Jose, CA 95129 2011-12-19
1891063574 Elizabeth Duell Dentist 4635 Piper Drive, San Jose, CA 95129 2011-12-08
1033486519 Stephanie Truvonne Hawkins Family Medicine 9292 De Anza Blvd, Suite 101, San Jose, CA 95129 2011-11-28
1568607828 Irina Vaynshteyn Dentist 1888 Saratoga Ave Ste 102, San Jose, CA 95129 2008-12-15
1407039118 Everblossom Healthcare Exclusive Provider Organization 1084 S De Anza Blvd. Suite A, San Jose, CA 95129 2007-12-17
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548896236 Gregory P. Salerno, Ph.d., A Psychology Corporation Psychologist 390 Spar Ave Ste 205, San Jose, CA 95117-1644 2020-03-13
1548766454 Jenifer Miri Psychologist 6370 Mojave Dr, San Jose, CA 95120-5310 2018-04-01
1417460676 Belinda Sangrat Psychologist 275 Hospital Pkwy Ste 370, San Jose, CA 95119-1136 2017-11-09
1659818060 Kathlyn Clementelli Psychologist 3212 Tenley Dr, San Jose, CA 95148-3639 2017-01-23
1932650223 Lorena Ho Psychologist 199 Laurel Grove Ln, San Jose, CA 95126-4848 2016-10-20
1477906410 Momentum for Mental Health - Crisis Stabilization Psychologist 101 Jose Figueres Ave Ste 50, San Jose, CA 95116-2022 2016-07-14
1215388764 Momentum for Mental Health - Cr Psychologist 101 Jose Figueres Ave Ste 10, San Jose, CA 95116-2022 2016-06-27
1386046258 Nicole Dow Psychologist 1417 Allegado Aly, San Jose, CA 95128-4547 2014-09-22
1902219850 Rohn Taylor Stark Jr. Psychologist 150 Palm Valley Blvd, 3128, San Jose, CA 95123-1060 2014-06-09
1497182414 Amara Brook Psychologist 1570 The Alameda Ste 255, San Jose, CA 95126-2305 2013-10-04
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Competitor

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City SAN JOSE
Zip Code 95129

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Dataset Information

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.

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