Individual provider · Type 1 NPI

Joseph Paul Montgomery, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · St. Clair Shores, MI

NPI number 1104155126 Active

Practice location

24715 Little Mack Ave Ste 200
St. Clair Shores, MI 48080-3207

Call (586) 777-9000 Map

Fax (586) 777-0823

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X6401011520 (MI)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X4704318966 (MI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1104155126

Joseph Paul Montgomery, PMHNP-BC's National Provider Identifier is 1104155126, issued on Dec 22, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Clair Shores, MI. The record was last updated on May 7, 2025.