RACHAEL MONTGOMERY (NPI# 1124594106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124594106 |
| Entity Type | Individual |
| Full Name | RACHAEL MONTGOMERY |
| Credential | MFT |
| Practice Address |
1101 California Ave Ste 100 Corona CA 92881-6472 |
| Mailing Address |
420 Mckinley St Ste 111 Box 615 Corona CA 92879-6504 |
| Practice Telephone | 7145849700 |
| Mailing Telephone | 7145849700 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
LMFT106917 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | IRS | 83-1928780 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4000 Macarthur Blvd, Newport Beach, CA 926602558 | 7145849700 |
| Street Address |
1101 CALIFORNIA AVE STE 100 |
| City | CORONA |
| State | CA |
| Zip Code | 92881-6472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124054119 | Randall B Davis | Marriage & Family Therapist | 1101 California Ave Ste 100, Corona, CA 92881-6472 | 2006-06-23 |
| 1124656194 | Mindshift Psychological Services Inc | Counselor | 1101 California Ave Ste 100, Corona, CA 92881-6472 | 2020-03-27 |
| 1942741079 | William Boyer | Marriage & Family Therapist | 1101 California Ave Ste 100, Corona, CA 92881 | 2017-03-08 |
| 1497007900 | Connect Hearing, Inc. | Audiologist | 1101 California Ave Ste 100, Corona, CA 92881-6472 | 2012-10-08 |
| 1457653545 | Nguyen Tran | Hearing Instrument Specialist | 1101 California Ave Ste 100, Corona, CA 92881-6472 | 2010-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| Find all providers in zip 92881 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
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|---|---|---|---|---|
| 1205455250 | Vladimir Anoyan | Psychologist | 376 Amherst Dr Apt A, Burbank, CA 91504-4220 | 2020-04-09 |
| 1235770181 | The Lotus Collaborative, Inc., A Psychology Clinic | Psychologist | 611 Mission St, Santa Cruz, CA 95060-3612 | 2019-10-02 |
| 1841845716 | Jonathan Pappas Marriage Family Therapy Inc. | Psychologist | 100 E Thousand Oaks Blvd Ste 326, Thousand Oaks, CA 91360-5713 | 2019-08-07 |
| 1710547690 | The Institute for Professional Parenting (tipp) | Psychologist | 15650 Devonshire Street, Suite 210-212, Granada Hills, CA 91344 | 2019-06-13 |
| 1528574019 | Jori Adler Marriage & Family Therapy Prof. Corp. | Psychologist | 3846 Lyceum Ave, Los Angeles, CA 90066-4125 | 2017-12-19 |
| 1609396472 | Rosanne Miranda | Psychologist | 3500 Barranca Pkwy Ste 305, Irvine, CA 92606-8232 | 2017-06-22 |
| 1972055655 | Richard Linares | Psychologist | 270 W 5th St, Oxnard, CA 93030-7107 | 2016-10-28 |
| 1912397787 | Operation:i.v.,inc | Psychologist | 1000 Town Center Dr Ste 300, Oxnard, CA 93036-1117 | 2015-01-30 |
| 1427486133 | Apex Recovery and Wellness, A Professional Corp. | Psychologist | 36 Quail Ct Ste 100, Walnut Creek, CA 94596-5514 | 2013-10-16 |
| 1154768307 | Redwood Psychology Center, Inc. | Psychologist | 709 Davis St, Santa Rosa, CA 95401-4767 | 2013-05-29 |
| Find all providers with the same taxonomy | ||||
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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.