MR. ROBERT A MONTGOMERY (NPI# 1932477346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932477346 |
| Entity Type | Individual |
| Full Name | MR. ROBERT A MONTGOMERY |
| Practice Address |
991 Parallel Dr Lakeport CA 95453-5720 |
| Practice Telephone | 7072634338 |
| Practice Fax Number | 7072631507 |
| Mailing Telephone | 7072634338 |
| Mailing Fax Number | 7072631507 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902207376 | Robert Montgomery | Marriage & Family Therapist | 6619 Dunbarton Dr, Tuscaloosa, AL 35406-2920 | 2014-09-04 |
| 1164853453 | Robert Montgomery Sr. | Technician/Technologist | 513 Gaslight Blvd, Lufkin, TX 75904-3127 | 2013-12-11 |
| 1235421645 | Robert Howes Montgomery | Radiology | 9447 Discovery Ter, #202, Bradenton, FL 34212-5113 | 2011-05-04 |
| 1245427343 | Robert Dean Montgomery | Dentist | 816 Scott St, Paso Robles, CA 93446-3640 | 2007-10-02 |
| 1720101447 | Robert G Montgomery | Family Medicine | 8570 S 116th St, Franklin, WI 53132-8803 | 2007-04-09 |
| 1437268125 | Robert W Montgomery | Psychologist | 107 Weatherstone Dr, Suite 530, Woodstock, GA 30188 | 2006-08-29 |
| 1770696544 | Robert A Montgomery | Dentist | 108 Third St, Elkins, WV 26241 | 2006-08-16 |
| 1497768444 | Robert Montgomery | Dentist | 1127 S St, Fresno, CA 93721-1408 | 2006-08-14 |
| 1801802764 | Robert Leslie Montgomery | Podiatrist | 5502 Sepulveda Blvd, Culver City, CA 90230-5514 | 2006-07-31 |
| 1952304594 | Robert Lance Montgomery | Orthopaedic Surgery | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2005-05-27 |
| Street Address |
991 PARALLEL DR |
| City | LAKEPORT |
| State | CA |
| Zip Code | 95453-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417018987 | Brock Ford Travis | Psychologist | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2006-12-12 |
| 1588029466 | Randall Cole | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2015-12-21 |
| 1427356443 | Thomas Leon Brown | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2011-03-01 |
| 1922304526 | Mary Lou Floyd | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2011-01-31 |
| 1740585819 | Jason Krishna Pofi | Licensed Vocational Nurse | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2011-01-20 |
| 1275838831 | Franklin Dewayne Tuttle Jr. | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2011-01-12 |
| 1336380955 | Carolina Rondas Pimenta | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2009-03-11 |
| 1689822991 | Mari Ellen Scholvinck | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2008-08-29 |
| 1427225119 | Lisa M Bermudez | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2008-05-12 |
| 1134399868 | Monnie Marie Smevold | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2008-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526847 | Easter Seals Bay Area | Early Intervention Provider Agency | 1950 Parallel Drive, Lakeport, CA 95453 | 2018-11-03 |
| 1285000810 | Lake County Tribal Health Consortium, Inc. | Clinic/Center | 14678 Lakeshore Boulevard, Clearlake, CA 95453 | 2015-08-18 |
| 1942558721 | Lorena A Watson | Nurse Practitioner | 5108 Hill Road East, Lakeport, CA 95453 | 2012-08-27 |
| 1992024657 | Jennifer Stolworthy Smith | Case Manager/Care Coordinator | 991 Parallel Dr. Ste. B, County of Lake, Mental Health, Lakeport, CA 95453 | 2010-05-20 |
| 1376720664 | June Arisa Masato | Marriage & Family Therapist | 1152 S. Main St, Lakeport, CA 95453 | 2008-01-29 |
| 1245417021 | Robert Ryan Taylor Sr. | Physical Therapist | 1285 S Main Street, Lakeport, CA 95453 | 2008-01-24 |
| 1760669618 | Joan Kammerer | Registered Nurse | 922 Bevins Court, Lakeport, CA 95453 | 2008-01-23 |
| 1881878353 | Mary Theresa Mcmillan | Marriage & Family Therapist | 75 Fourth Street, Lakeport, CA 95453 | 2007-12-19 |
| 1922288984 | Robert William Krause | Family Medicine | 755 Eleventh St, Lakeport, CA 95453 | 2007-11-07 |
| 1568683092 | Dan Sleeth | Marriage & Family Therapist | 991 Parallel Dr., Lakeport, CA 95453 | 2007-05-01 |
| Find all providers in zip 95453 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801178843 | Faranak Fara Izadi | Counselor | 55 1st St # 314, Lakeport, CA 95453-4839 | 2011-09-15 |
| 1306084124 | Gail P Dyne | Counselor | 149 N Main St Ste 200, Lakeport, CA 95453-4846 | 2009-02-02 |
| 1346449618 | David Sean Brody | Counselor | 255 N Forbes St, Lakeport, CA 95453-4759 | 2007-07-16 |
| 1326173048 | Brenda Kearby | Counselor | 1156 South Main St., Lakeport, CA 95453 | 2007-02-22 |
| 1235288358 | Helen Kate Mcallister | Counselor | 1152 S Main St, Lakeport, CA 95453-5517 | 2007-01-09 |
| 1104432509 | Jaleen White | Counselor | 160 S Main St, Lakeport, CA 95453-5017 | 2020-09-21 |
| 1932660347 | Ebony Denise Coleman | Counselor | 255 N Forbes St, Lakeport, CA 95453-4759 | 2019-03-28 |
| 1265953996 | Thonyoon Chao | Counselor | 160 S Main St, Lakeport, CA 95453-5017 | 2017-07-03 |
| 1679027437 | Lynn Farmer | Counselor | 1152 S Main St, Lakeport, CA 95453-5517 | 2016-08-10 |
| 1649680257 | Lara Withop | Counselor | 1152 S Main St, Lakeport, CA 95453-5517 | 2014-05-05 |
| Find all providers in LAKEPORT | ||||
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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.