FREDERICK A MONTGOMERY MD INC PS NPI 1457410961

NPI Information

  • NPI: 1457410961
  • Provider Name: FREDERICK A MONTGOMERY MD INC PS
  • Classification: Psychiatry & Neurology - 2084A0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 215 SO 11TH # D
    YAKIMA, WA
    ZIP 98902
  • Phone: (509) 248-6192

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NPI Details

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 9/11/2025.

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
12084P0800XPsychiatry & NeurologyPsychiatryMD00009512WASHINGTONNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryMD00009512WASHINGTONNo
32084A0401XPsychiatry & NeurologyAddiction MedicineMD00009512WASHINGTONYes

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
11591403MEDICAIDWASHINGTON

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: 11/21/2025

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