Individual provider
MR. MICHAEL ANDREW MONTGOMERY, LCSW
CMS NPPES lists MR. MICHAEL ANDREW MONTGOMERY as an individual provider record with NPI 1003005166. The current record reports a primary practice location in WELLSVILLE, UT and primary taxonomy code 1041C0700X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location7877 S HIGHWAY 89 # 91WELLSVILLE, UT 843399416
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
1041C0700XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- October 15, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.