DR. AMY K MONTAGUE PHD
NPI 1639260722
Psychologist in La Jolla, CA

Active since September 27, 2006Opted out of Medicare · through Jan 1, 2028
4180 LA JOLLA VLG DR, SUITE 250, LA JOLLA, CA 92037(858) 554-0801(858) 054-0821 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Amy K Montague Phd NPPES

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

DR. AMY K MONTAGUE PHD (NPI 1639260722) is an individual psychologist in La Jolla, California, licensed in (PSY11212) and active in the NPI registry since September 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639260722
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. AMY K MONTAGUECredential: PHD
Location Address4180 LA JOLLA VLG DR, SUITE 250La Jolla, CA 92037
Mailing Address4180 La Jolla Vlg Dr, Suite 250La Jolla, CA 92037 · (858) 554-0801 · Fax (858) 054-0821
Fax(858) 054-0821
Sole ProprietorYes
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1639260722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed · PSY11212
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.
4180 LA JOLLA VLG DR, La Jolla, CA 92037

Other Identifiers 2

Medicare ID-Type UnspecifiedCP11212
MedicaidCP11212CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Amy K Montague Phd 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 January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Psychologist
4180 LA JOLLA VLG DR, SUITE 250
LA JOLLA, CA 92037

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 Amy Montague's NPI number?

The NPI number for Amy Montague is 1639260722. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Amy Montague located?

Amy Montague practices at 4180 La Jolla Vlg Dr Suite 250, La Jolla, CA 92037. The listed phone number is (858) 554-0801.

What is Amy Montague's specialty?

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

Is Amy Montague enrolled in Medicare?

No. Amy Montague has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Amy Montague was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.