PAMELLA MONTGOMERY PH D PLLC (NPI# 1326278144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326278144 |
| Entity Type | Organization |
| Organization Name | PAMELLA MONTGOMERY PH D PLLC |
| Practice Address |
4123 Okemos Rd Suite 14 Okemos MI 48864-2818 |
| Practice Telephone | 5173477736 |
| Practice Fax Number | 5173474644 |
| Mailing Telephone | 5173477736 |
| Mailing Fax Number | 5173474644 |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-10-19 |
| Authorized Official Name | DR. PAMELLA MONTGOMERY (OWNER) |
| Authorized Official Telephone | 5173477736 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801000545 | MI | Behavioral Health & Social Service Providers |
| Street Address |
4123 OKEMOS RD SUITE 14 |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891751921 | Rebecca E Lopez | Social Worker | 4123 Okemos Rd, Ste 15, Okemos, MI 48864-2818 | 2006-04-26 |
| 1386207751 | Susan R Darin | Social Worker | 4123 Okemos Rd, Okemos, MI 48864-2818 | 2019-04-20 |
| 1427452077 | Carole Mcedwards | Marriage & Family Therapist | 4123 Okemos Rd, Ste 14, Okemos, MI 48864-2818 | 2014-10-10 |
| 1689076036 | Linda Wenzel | Social Worker | 4123 Okemos Rd, 14, Okemos, MI 48864-2818 | 2014-09-17 |
| 1497186381 | Michael Mugett | Counselor | 4123 Okemos Rd, Ste 14, Okemos, MI 48864-2818 | 2013-12-03 |
| 1023458981 | Laura Christine Froyen-lynch | Marriage & Family Therapist | 4123 Okemos Rd, 14, Okemos, MI 48864-2818 | 2013-06-25 |
| 1386982494 | Robert C Davis Phd | Psychologist | 4123 Okemos Rd, Ste 14, Okemos, MI 48864-2818 | 2013-01-24 |
| 1932420189 | Neuropsychology Associates LLC | Psychologist | 4123 Okemos Rd, Suite 14, Okemos, MI 48864-2818 | 2010-06-22 |
| 1275637928 | Beth A Mcwhorter | Counselor | 4123 Okemos Rd, Okemos, MI 48864-2818 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104834 | Anne Elizabeth Rife | Social Worker | 4660 Marsh Rd Ste 27, Okemos, MI 48864-2143 | 2020-11-05 |
| 1750996021 | Michael T King | Social Worker | 4084 Okemos Rd Ste A, Okemos, MI 48864-3258 | 2020-09-13 |
| 1992272751 | Jill Coleen Pierce | Social Worker | 2111 University Park Dr., Ste 100, Okemos, MI 48864-4886 | 2018-10-30 |
| 1699254433 | Stephanie Lee LLC | Social Worker | 4660 Marsh Rd Ste G-1, Okemos, MI 48864-2143 | 2018-08-13 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1144698135 | Allison Sevegney-reynolds | Social Worker | 200 Twin Ponds Dr, Okemos, MI 48864-4179 | 2015-09-08 |
| 1982088431 | Deborah Renee Richmond | Social Worker | 4295 Okemos Rd Ste 100, Okemos, MI 48864-6203 | 2015-07-15 |
| 1932469517 | Mindy Sue Evans | Social Worker | 3800 Heritage Ave Ste A2, Okemos, MI 48864-2871 | 2012-05-17 |
| 1780981480 | Rebecca H Hellwig | Social Worker | 2145 University Park Dr Ste 365, Okemos, MI 48864-3982 | 2011-02-16 |
| Find all providers in OKEMOS | ||||
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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.