DR. LATRICE MONTGOMERY PHD
NPI 1356224653
Psychologist - Clinical in Cincinnati, OH

Q: What is Latrice Montgomery's NPI number?

The NPI number for Latrice Montgomery is 1356224653. It was assigned to this individual provider in the NPPES registry on July 26, 2025.

Q: What is Latrice Montgomery's specialty?

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

Active since July 26, 2025PECOS Enrolled

3654 RIDGEWOOD AVE, CINCINNATI, OH 45211(513) 418-3161 Get Directions Write a Review

NPPES record last updated: July 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Latrice Montgomery Phd NPPES

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

DR. LATRICE MONTGOMERY PHD (NPI 1356224653) is an individual clinical provider in Cincinnati, Ohio, licensed in Ohio (P.07659) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1356224653

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LATRICE MONTGOMERYCredential: PHD

Location Address3654 RIDGEWOOD AVECincinnati, OH 45211-2621

Mailing Address3654 Ridgewood AveCincinnati, OH 45211-2621 · (513) 418-3161

Phone(513) 418-3161

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 26, 2025

NPPES CertifiedJuly 26, 2025

✔ NPI 1356224653 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 OH · P.07659

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.

3654 RIDGEWOOD AVE, Cincinnati, OH 45211

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Latrice Montgomery Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749765972

PECOS Enrollment IDI20260326000526

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.

Medicare Billing Reassignments

Medicare enrollment records show Latrice Montgomery reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychological & Behavioral Consultants, LLC

228 mi

Psychiatry

25101 CHAGRIN BLVD STE 100
Beachwood, OH 44122

Reassigned Medicare billing, Ohio enrollment
713 clinicians in this Medicare group

NPI 1811915713 (216) 468-5000

Solace Health Medical Group Inc

2,033 mi

Geriatric Medicine

401 WARREN ST STE 300
Redwood City, CA 94063

Reassigned Medicare billing, Ohio enrollment
14 clinicians in this Medicare group

NPI 1801669924 (708) 320-1477

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45211 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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 Latrice Montgomery's NPI number?

The NPI number for Latrice Montgomery is 1356224653. It was assigned to this individual provider in the NPPES registry on July 26, 2025.

Where is Latrice Montgomery located?

Latrice Montgomery practices at 3654 Ridgewood Ave, Cincinnati, OH 45211. The listed phone number is (513) 418-3161.

What is Latrice Montgomery's specialty?

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

Is Latrice Montgomery enrolled in Medicare?

Yes. Latrice Montgomery is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Latrice Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latrice Montgomery reassigns Medicare benefits to 2 organizations: Psychological & Behavioral Consultants, LLC (Beachwood, OH) and Solace Health Medical Group Inc (Redwood City, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Latrice Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Latrice Montgomery accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and UnitedHealthcare list Latrice Montgomery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Latrice Montgomery was last updated on July 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.