Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joseph Paul Montgomery, PMHNP-BC

Individual provider Professional Counselor · NPI 1104155126

Joseph Paul Montgomery, PMHNP-BC is a Nurse Practitioner in Saint Clair Shores, Michigan. Graduated from Wayne State University School of Medicine in 2020, 6 years ago. Offers telehealth. Licensed in Michigan.

Years since qualifying
6
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2009
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

24715 Little Mack Ave Ste 200
Saint Clair Shores, MI 48080-3207
Phone: (586) 777-9000
Fax: (586) 777-0823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704318966 (MI)
Professional Counselor Taxonomy 101YP2500X · Licence 6401011520 (MI)

Record details

NPI number1104155126
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedDecember 22, 2009
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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