Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760139638 Individual Practitioner Male Practitioner

Samuel Austin Montgomery

Psychologist • Fenton, MI

Professional Overview & Biography Verified Profile Summary

Samuel Montgomery is a registered healthcare professional specializing in Psychologist in Fenton, MI. Practice services are available at 110 TREALOUT DR STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

110 Trealout Dr Ste 103

Fenton, MI 484301402

Telephone 2488129046
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Fenton, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Fenton, MI (2669 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-03-09
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MI 6362009401

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License MI 6451021910

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 09, 2022

NPI status registered as active in NPPES database

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Updated Practice Location March 09, 2022

Registered at 110 TREALOUT DR STE 103, FENTON, MI 484301402 (Tel: 2488129046)

📍
Updated Business Mailing Address March 09, 2022

Registered at 6901 CHESTERFIELD, WATERFORD, MI 483273528 (Tel: 2484643287)

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Provider Name / Credentials Updated March 09, 2022

Recorded as SAMUEL MONTGOMERY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2022

Counselor (License #6451021910 in MI)

🟢
Initial NPI Registration & Enumeration March 09, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1760139638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2022
Last Update: March 09, 2022
Sole Proprietor: No

Mailing Address

6901 Chesterfield

Waterford, MI 483273528

Phone: 2484643287

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.