Healthcare Provider Details

I. General information

NPI: 1699330647
Provider Name (Legal Business Name): NICOLE ELIZABETH MONTERA PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238 NORTHAMPTON ST
EASTHAMPTON MA
01027-1046
US

IV. Provider business mailing address

238 NORTHAMPTON ST
EASTHAMPTON MA
01027-1046
US

V. Phone/Fax

Practice location:
  • Phone: 413-529-9300
  • Fax: 866-644-0870
Mailing address:
  • Phone: 413-529-9300
  • Fax: 866-644-0870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: