ALISA MONTGOMERY (NPI# 1558973636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558973636 |
| Entity Type | Individual |
| Full Name | ALISA MONTGOMERY |
| Practice Address |
108-19 Rockaway Blvd. South Ozone NY 11420 |
| Mailing Address |
108-19 Rockaway Blvd. Ozone Park NY 11420 |
| Practice Telephone | 7188452620 |
| Mailing Telephone | 7188452620 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
NY | Behavioral Health & Social Service Providers |
| Street Address |
108-19 ROCKAWAY BLVD. |
| City | SOUTH OZONE |
| State | NY |
| Zip Code | 11420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652934 | Elijah Roberto Tavarez | Counselor | 10810 Rockaway Blvd, South Ozone Park, NY 11420 | 2020-09-01 |
| 1285247353 | Carlene Evans | Counselor | 109 -18 Rockaway Blvd, Ozone Park, NY 11420 | 2020-08-28 |
| 1194380451 | Janette Homecare of New York | Registered Nurse | 126-16 111th Avenue, South Ozone Park, NY 11420 | 2019-05-02 |
| 1255994364 | Jasoda Girdhari Ali | Physician Assistant | 132 12 Linden Blvd, South Ozone Park, NY 11420 | 2019-04-16 |
| 1144794553 | Levinia Melaram | Nurse Practitioner | 12234 149th Ave Fl 2, South Ozone Park, NY 11420 | 2019-01-18 |
| 1558848572 | Avinell Shane Abdool | Physician Assistant | 109-42-111th Street, South Ozone Park, NY 11420 | 2018-07-23 |
| 1427556703 | Shari Dimple Mohan | Specialist | 132-52 114 Street, South Ozone Park, NY 11420 | 2018-01-31 |
| 1831625375 | Yes We Can Speech Language Pathologist LLC | Case Management | 111-58 Leffert Blvd, 2f, South Ozone Park, NY 11420 | 2017-05-03 |
| 1992255350 | Community Cardiovascular Services, Pllc | Internal Medicine | 117-44, 122nd Street, South Ozone Park, NY 11420 | 2016-10-10 |
| 1952729261 | Wonder World Educational Center | Case Management | 13531 124th St, South Ozone Park, NY 11420 | 2014-04-03 |
| Find all providers in zip 11420 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194639 | Jackson Hoppey | Counselor | 17 Huyler Ct, Setauket, NY 11733-1307 | 2020-11-06 |
| 1760083588 | Jesus Rafael Vargas | Counselor | 918 E 222nd St, Bronx, NY 10469-1018 | 2020-11-06 |
| 1376144196 | Karina Rieke | Counselor | 29 Mersereau Ave, Mount Vernon, NY 10553-1105 | 2020-11-06 |
| 1477154540 | Rachel Steinhardt | Counselor | 2917 Avenue M Side Door, Brooklyn, NY 11210-4616 | 2020-11-05 |
| 1659972859 | Rebecca Ryan | Counselor | 8 Virginia Road, Babylon, NY 11702 | 2020-11-04 |
| 1760083992 | Michelle Stiles Lmhc Pllc | Counselor | 8306 Caughdenoy Rd, Clay, NY 13041-9165 | 2020-11-04 |
| 1114528304 | May Tang | Counselor | 7215 37th Ave Apt 6c, Jackson Heights, NY 11372-6214 | 2020-11-04 |
| 1063013191 | Clinicians of The Diaspora, LLC | Counselor | 203 W 117th St Apt 3e, New York, NY 10026-2139 | 2020-11-04 |
| 1871194464 | Tamara Sarita Manzo | Counselor | 60 N Waldinger St, Valley Stream, NY 11580-3809 | 2020-11-02 |
| 1730789389 | Willam Bernard Feehan | Counselor | 14 Sutton Pl S Apt 3b, New York, NY 10022-3109 | 2020-10-31 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH OZONE |
| Zip Code | 11420 |
Please comment or provide details below to improve the information on ALISA MONTGOMERY.
| 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.