AMANDA MONTGOMERY
NPI 1306214325
Psychologist in Mountain View, CA

Active since September 08, 2015Opted out of Medicare · through Oct 1, 2027
809 CUESTA DR, SUITE B PMB 1065, MOUNTAIN VIEW, CA 94040(415) 843-1523 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 5, 2019, Mar 17, 2018 (2 updates tracked since 2018).

About Amanda Montgomery NPPES

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

AMANDA MONTGOMERY (NPI 1306214325) is an individual psychologist in Mountain View, California and active in the NPI registry since September 2015. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1306214325
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameAMANDA MONTGOMERY
Location Address809 CUESTA DR, SUITE B PMB 1065Mountain View, CA 94040
Mailing Address809 Cuesta Dr, Suite B Pmb 1065Mountain View, CA 94040
Sole ProprietorNo
Enumeration DateSeptember 8, 2015
Last NPPES UpdateAugust 30, 20242 updates tracked since enumeration
NPPES CertifiedAugust 30, 2024
✔ NPI 1306214325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
809 CUESTA DR, Mountain View, CA 94040

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amanda Montgomery has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
809 CUESTA DR, SUITE 205
MOUNTAIN VIEW, CA 94040
Clinic/Center (Dental)
809 CUESTA DR, SUITE 205
MOUNTAIN VIEW, CA 94040
Psychologist (Clinical)
809 CUESTA DR
MOUNTAIN VIEW, CA 94040
Dietitian, Registered
809 CUESTA DR, STE B #1166
MOUNTAIN VIEW, CA 94040

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 Amanda Montgomery's NPI number?

The NPI number for Amanda Montgomery is 1306214325. It was assigned to this individual provider in the NPPES registry on September 8, 2015.

Where is Amanda Montgomery located?

Amanda Montgomery practices at 809 Cuesta Dr Suite B Pmb 1065, Mountain View, CA 94040. The listed phone number is (415) 843-1523.

What is Amanda Montgomery's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Amanda Montgomery enrolled in Medicare?

No. Amanda Montgomery has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amanda Montgomery was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.