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

Kimberly G Montgomery, PHDHSPP

Individual provider Psychologist · NPI 1821170861

Kimberly G Montgomery, PHDHSPP is a Clinical Psychologist in Indianapolis, Indiana. Qualified in 1992, 34 years ago. Accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
34
Licensed in
IN
In the registry since
2006
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Practice location Address checks out

6296 Rucker Rd Ste A
Indianapolis, IN 46220-4852
Phone: (317) 580-4007
Fax: (833) 244-0469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 20040771A (IN)

Record details

NPI number1821170861
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDHSPP
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESOctober 30, 2021
Certification dateOctober 30, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Indianapolis