Healthcare Provider Details

I. General information

NPI: 1487582433
Provider Name (Legal Business Name): SUSSEX PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 WOODPORT RD STE 4
SPARTA NJ
07871-2411
US

IV. Provider business mailing address

48 WOODPORT RD STE 4
SPARTA NJ
07871-2411
US

V. Phone/Fax

Practice location:
  • Phone: 973-577-6562
  • Fax:
Mailing address:
  • Phone: 973-577-6562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN MONTGOMERY
Title or Position: OWNER
Credential: DO
Phone: 973-577-6562