FREDERICK A MONTGOMERY MD INC PS – NPI #1457410961
Psychiatry & Neurology

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Health Care Provider Taxonomy Code for Psychiatry & Neurology

FREDERICK A MONTGOMERY MD INC PS is a psychiatry & neurologist located in YAKIMA, WA. NPPES has assigned the NPI number 1457410961 to FREDERICK A MONTGOMERY MD INC PS on December 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084A0401X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Medicine

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FREDERICK A MONTGOMERY MD INC PS below.

NPI Profile for
FREDERICK A MONTGOMERY MD INC PS

NPI Number
1457410961
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FREDERICK A MONTGOMERY MD INC PS
Primary location
215 SO 11TH # D
YAKIMA, WA 98902
Phone: (509) 248-6192 Fax: (509) 452-5433
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FREDERICK MONTGOMERY
PRESIDENT
Phone: (509) 248-6192
Updated
Identifiers

Identifiers for FREDERICK A MONTGOMERY MD INC PS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWA1591403
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084A0401X
- Psychiatry & Neurology / Addiction Medicine (Primary)		 WA MD00009512
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry		 WA MD00009512
2084P0800X
- Psychiatry & Neurology / Psychiatry		 WA MD00009512

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.