KIMBERLY MONTGOMERY PHD HSPP LLC
NPI 1609530120
Psychologist in Indianapolis, IN
About Kimberly Montgomery Phd Hspp Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY MONTGOMERY PHD HSPP LLC (NPI 1609530120), doing business as Kimberly G Montgomery, is a healthcare organization registered as a psychologist in Indianapolis, Indiana and active in the NPI registry since October 2021. The organization lists Kimberly G Montgomery, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Montgomery Phd Hspp Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kimberly Montgomery Phd Hspp LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kimberly Montgomery Phd Hspp LLC's NPI number?
The NPI number for Kimberly Montgomery Phd Hspp LLC is 1609530120. It was assigned to this organization in the NPPES registry on October 30, 2021. The provider was formerly known as Kimberly G Montgomery.
Where is Kimberly Montgomery Phd Hspp LLC located?
Kimberly Montgomery Phd Hspp LLC is located at 6296 Rucker Rd Ste A, Indianapolis, IN 46220. The listed phone number is (317) 580-4007.
What is Kimberly Montgomery Phd Hspp LLC's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Kimberly Montgomery Phd Hspp LLC enrolled in Medicare?
Yes. Kimberly Montgomery Phd Hspp LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kimberly Montgomery Phd Hspp LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kimberly Montgomery Phd Hspp LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Montgomery Phd Hspp LLC was last updated on October 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.