SAMUEL AUSTIN MONTGOMERY
NPI 1760139638
Psychologist in Fenton, MI

Active since March 09, 2022
110 TREALOUT DR STE 103, FENTON, MI 48430(248) 812-9046 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Austin Montgomery NPPES

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

SAMUEL AUSTIN MONTGOMERY (NPI 1760139638) is an individual psychologist in Fenton, Michigan, licensed in Michigan (6362009401) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1760139638
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameSAMUEL AUSTIN MONTGOMERY
Location Address110 TREALOUT DR STE 103Fenton, MI 48430-1402
Mailing Address6901 ChesterfieldWaterford, MI 48327-3528 · (248) 464-3287
Sole ProprietorNo
Enumeration DateMarch 9, 2022
NPPES CertifiedMarch 9, 2022
NPI 1760139638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6362009401
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.
Also ListedCounselorTaxonomy 101Y00000X · License 6451021910 (MI)
110 TREALOUT DR STE 103, Fenton, MI 48430

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (Multi-Specialty)
110 TREALOUT DR STE 103
FENTON, MI 48430

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 Samuel Montgomery's NPI number?

The NPI number for Samuel Montgomery is 1760139638. It was assigned to this individual provider in the NPPES registry on March 9, 2022.

Where is Samuel Montgomery located?

Samuel Montgomery practices at 110 Trealout Dr Ste 103, Fenton, MI 48430. The listed phone number is (248) 812-9046.

What is Samuel Montgomery's specialty?

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

What insurance does Samuel Montgomery accept?

Health plans from Priority Health list Samuel 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 Samuel Montgomery was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.