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DR. SAMUEL A MONTANO PHD
NPI 1164048609
Psychologist - Clinical in Clovis, CA

Active since June 20, 2020PECOS EnrolledAccepts Medicare Assignment
255 W BULLARD AVE STE 101, CLOVIS, CA 93612(559) 443-8687 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2024, Jun 13, 2024, Jun 29, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Samuel A Montano Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL A MONTANO PHD (NPI 1164048609) is an individual clinical provider in Clovis, California, licensed in California (PSY28917) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1164048609
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SAMUEL A MONTANOCredential: PHD
Location Address255 W BULLARD AVE STE 101Clovis, CA 93612-0861
Mailing Address255 W Bullard Ave Ste 101Clovis, CA 93612-0861 · (559) 299-2435
Phone(559) 443-8687
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 20, 2020
Last NPPES UpdateNovember 20, 20244 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1164048609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY28917
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
255 W BULLARD AVE STE 101, Clovis, CA 93612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel A Montano Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183155427
PECOS Enrollment IDI20240927000593
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KASSANDRA ARIANA BANUELOS
Marriage & Family Therapist
255 W BULLARD AVE STE 101
CLOVIS, CA 93612
Fresno County (559) 248-8550
PRISCILLA ROSE TREJO
Counselor (Mental Health)
255 W BULLARD AVE STE 101
CLOVIS, CA 93612
Fresno County (559) 299-2608
CENTRAL VALLEY INDIAN HEALTH, INC
Clinic/Center
255 W BULLARD AVE STE 101
CLOVIS, CA 93612
Fresno County (559) 299-2435
ANDRANIK AVAKIAN PMHNP-C
Nurse Practitioner (Psychiatric/Mental Health)
255 W BULLARD AVE STE 101
CLOVIS, CA 93612
Fresno County (559) 299-2435
MRS. MARIA BLANCARTE STEVENS PSY.D.
Psychologist (Clinical)
255 W BULLARD AVE STE 101
CLOVIS, CA 93612
Fresno County (559) 299-2435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Montano's NPI number?

The NPI number for Samuel Montano is 1164048609. It was assigned to this individual provider in the NPPES registry on June 20, 2020.

Where is Samuel Montano located?

Samuel Montano practices at 255 W Bullard Ave Ste 101, Clovis, CA 93612. The listed phone number is (559) 443-8687.

What is Samuel Montano's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Samuel Montano enrolled in Medicare?

Yes. Samuel Montano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samuel Montano was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.