DR. MARY E MONTALDO PH.D.
NPI 1376950162
Psychologist - Clinical in Auburn, CA

Active since July 14, 2014PECOS EnrolledAccepts Medicare Assignment
80.58/100
CMS Quality Rating
11670 ATWOOD RD, AUBURN, CA 95603(530) 887-2800 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2024, May 13, 2019 (2 updates tracked since 2019).

About Dr. Mary E Montaldo Ph.d. NPPES

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

DR. MARY E MONTALDO PH.D. (NPI 1376950162) is an individual clinical provider in Auburn, California, licensed in California (PSY29809) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1376950162
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARY E MONTALDOCredential: PH.D.
Location Address11670 ATWOOD RDAuburn, CA 95603-9522
Mailing Address3000 Lasso WayRoseville, CA 95747-9611 · (408) 833-0406
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 14, 2014
Last NPPES UpdateOctober 4, 20242 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
NPI 1376950162 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 · PSY29809
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.

11670 ATWOOD RD, Auburn, CA 95603

Other Names 1

Former Name (1)Ms. Mary E Lake

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. Mary E Montaldo Ph.d. 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 ID9537423819
PECOS Enrollment IDI20180515000323
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 95603 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
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.43
Promoting Interoperability100
Improvement Activities40
Cost46.5

Other Providers at the Same Location NPPES 20

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

Dental Hygienist
11670 ATWOOD RD
AUBURN, CA 95603
Nurse Practitioner (Family)
11670 ATWOOD RD
AUBURN, CA 95603
Dental Hygienist
11670 ATWOOD RD
AUBURN, CA 95603
Nurse Practitioner (Family)
11670 ATWOOD RD
AUBURN, CA 95603
Clinic/Center (Federally Qualified Health Center (FQHC))
11670 ATWOOD RD
AUBURN, CA 95603
Clinic/Center
11670 ATWOOD RD
AUBURN, CA 95603
Counselor (Mental Health)
11670 ATWOOD RD
AUBURN, CA 95603
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11670 ATWOOD RD
AUBURN, CA 95603

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 Mary Montaldo's NPI number?

The NPI number for Mary Montaldo is 1376950162. It was assigned to this individual provider in the NPPES registry on July 14, 2014. The provider is also known as Ms. Mary E Lake.

Where is Mary Montaldo located?

Mary Montaldo practices at 11670 Atwood Rd, Auburn, CA 95603. The listed phone number is (530) 887-2800.

What is Mary Montaldo's specialty?

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

Is Mary Montaldo enrolled in Medicare?

Yes. Mary Montaldo 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 Mary Montaldo was last updated on October 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.