SAMUEL AUSTIN MONTGOMERY
NPI 1760139638
Psychologist in Fenton, MI

NPI Status: Active since March 09, 2022

Contact Information

110 TREALOUT DR STE 103
FENTON, MI
ZIP 48430
Phone: (248) 812-9046

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  • Individual
  • Male
  • Psychologist

About SAMUEL MONTGOMERY

This page provides the complete NPI Profile along with additional information for Samuel Montgomery, a provider established in Fenton, Michigan with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1760139638 assigned on March 2022. The practitioner's primary taxonomy code is 103T00000X with license number 6362009401 (MI). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1760139638
Provider Name
SAMUEL AUSTIN MONTGOMERY
Gender
Male
Entity Type
Individual
Location Address
110 TREALOUT DR STE 103 FENTON, MI 48430
Location Phone
(248) 812-9046
Mailing Address
6901 CHESTERFIELD WATERFORD, MI 48327
Mailing Phone
(248) 464-3287
Is Sole Proprietor?
No
Enumeration Date
03-09-2022
Last Update Date
03-09-2022
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A psychologist like Samuel Montgomery studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
6362009401
License State
MI
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

6451021910 (MI)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760139638
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120231866
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 2 + 3 + 1 + 8 + 6 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1760139638 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669087854ADVANCE COUNSELING SERVICES, LLC
Organization
Clinic/Center (Multi-Specialty)110 TREALOUT DR STE 103
FENTON, MI 48430
(810) 777-0139

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760139638, enumerated in the NPI registry as an "individual" on March 09, 2022

The provider is located at 110 Trealout Dr Ste 103 Fenton, Mi 48430 and the phone number is (248) 812-9046

The provider's speciality is Psychologist with taxonomy code 103T00000X

This NPI record was last updated on March 09, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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