MEDICARE: KIMBERLY MONTGOMERY PHD HSPP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1609530120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIMBERLY MONTGOMERY PHD HSPP LLC

Provider Business Mailing Address
First Line	:	6296 RUCKER RD STE A
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-4852
Country	:	US
Telephone Number	:	317-580-4007
Fax Number	:	833-244-0469

Provider Business Practice Location Address
First Line	:	6296 RUCKER RD STE A
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-4852
Country	:	US
Telephone Number	:	317-580-4007
Fax Number	:	833-244-0469

Authorized Official
Title or Position	:	OWNER
Name	:	KIMBERLY G MONTGOMERY
Credential	:	PHD
Telephone Number	:	317-580-4007

Provider Enumeration Date	:	10/30/2021
Last Update Date	:	10/30/2021

Similar Medicare Providers

1255340030 — DR. NANCY K MERBITZ PH.D.
Practice Location Address:

6296 RUCKER RD STE A
INDIANAPOLIS, IN
46220-4852

Practice Phone: 708-567-6778
Practice Fax:

1316053770 — DR. MICHAEL GAYLOR KELLEY DDS
Practice Location Address:

6296 RUCKER RD , STE A
INDIANAPOLIS, IN
46220-4852

Practice Phone: 317-253-5400
Practice Fax: 317-254-9156

1821170861 — KIMBERLY G MONTGOMERY PHD HSPP
Practice Location Address:

6296 RUCKER RD STE A
INDIANAPOLIS, IN
46220-4852

Practice Phone: 317-580-4007
Practice Fax: 833-244-0469

1255547550 — ADVANCED CENTER FOR THE EVALUATION OF FOOT AND ANKLE PAIN LLC
Practice Location Address:

6296 RUCKER RD
INDIANAPOLIS, IN
46220-4852

Practice Phone: 317-841-9930
Practice Fax: 317-815-8505

1558779355 — NEUROBEHAVIORAL CONSULTANTS, LLC
Practice Location Address:

6296 RUCKER RD STE A
INDIANAPOLIS, IN
46220-4852

Practice Phone: 317-550-3043
Practice Fax:

1124843776 — CHARLES ALLAN HUNT LMHCA
Practice Location Address:

6296 RUCKER RD STE A
INDIANAPOLIS, IN
46220-4852

Practice Phone: 317-550-3043
Practice Fax: 855-845-3260

Directions to “KIMBERLY MONTGOMERY PHD HSPP LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.