| Montes Psychiatric Center, P.c. | |
|
6090 Strathmoor Dr Ste 1 Rockford IL 61107-5200 | |
| (815) 839-8180 | |
| (815) 839-8290 |
| Full Name | Montes Psychiatric Center, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6090 Strathmoor Dr Ste 1, Rockford, Illinois |
| Authorized Official Name and Position | Jose F Montes (OWNER) |
| Authorized Official Contact | 8158398180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montes Psychiatric Center, P.c. 6090 Strathmoor Dr Ste 1 Rockford IL 61107-5200 Ph: (815) 839-8180 | Montes Psychiatric Center, P.c. 6090 Strathmoor Dr Ste 1 Rockford IL 61107-5200 Ph: (815) 839-8180 |
| NPI Number | 1629694278 |
|---|---|
| Provider Enumeration Date | 06/19/2020 |
| Last Update Date | 11/02/2022 |
| Certification Date | 11/02/2022 |
| Medicare PECOS PAC ID | 5991125585 |
|---|---|
| Medicare Enrollment ID | O20201021000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629694278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jose F Montes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811928716 PECOS PAC ID: 7416054911 Enrollment ID: I20070517000477 |
| Provider Name | Gina C Chmela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558668764 PECOS PAC ID: 8628249836 Enrollment ID: I20110920000556 |
| Provider Name | Brandi Kristen Boan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780862219 PECOS PAC ID: 9436477338 Enrollment ID: I20150403000837 |
| Provider Name | Stephanie Barkemeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215302039 PECOS PAC ID: 8224443635 Enrollment ID: I20210217001636 |
| Provider Name | Miguel Angel Toledo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356092027 PECOS PAC ID: 9739544503 Enrollment ID: I20230501000239 |
| Provider Name | Kendal Justice |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427802966 PECOS PAC ID: 4587004593 Enrollment ID: I20240424002166 |
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