FREDERICK A MONTGOMERY MD INC PS NPI 1457410961

NPI Information

NPI: 1457410961
Provider Name: FREDERICK A MONTGOMERY MD INC PS
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
215 SO 11TH # D
YAKIMA, WA
ZIP 98902
Phone: (509) 248-6192
Get Directions

FREDERICK A MONTGOMERY MD INC PS is an addiction medicine psychiatry neurology in Yakima, WA. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine FREDERICK A MONTGOMERY MD INC PS NPI is 1457410961. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

215 SO 11TH # D
YAKIMA, WA
ZIP 98902
Phone: (509) 248-6192
Fax: (509) 452-5433

The provider's authorized official is Frederick A Montgomery .
The authorized official title is President and has the following contact phone number (509) 248-6192.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine	MD00009512	WASHINGTON	Yes
2	2084P0800X	Psychiatry & Neurology	Psychiatry	MD00009512	WASHINGTON	X
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	MD00009512	WASHINGTON	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1591403	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »