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Amy Diane Montague, PH.D.

NPI 1245476753ActiveIndividual· Psychologist· Palm Desert, CA

Psychologist (PH.D.) with Sud Specialty Group - Ca, practicing in Palm Desert, California. Enrolled in Medicare as practitioner - psychologist billing independently.

Overview

NPI1245476753
StatusActive
Entity typeIndividual
CredentialPH.D.
Sole proprietorYes
NPI issuedJan 5, 2009
Last updated in NPPESSep 19, 2023
Certified by providerSep 19, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000XPSY 16740CA
Psychologist103T00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Psychologist Billing Independently (CA)

Medicare sources and data years

Education and affiliations

Graduation year1993
Medicare specialtyClinical Psychologist
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

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