Provider Demographics
NPI:1174669717
Name:MONTAGUE PSYCHOLOGICAL ASSOCIATES
Entity Type:Organization
Organization Name:MONTAGUE PSYCHOLOGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINGISER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:413-774-2981
Mailing Address - Street 1:622 E PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1526
Mailing Address - Country:US
Mailing Address - Phone:413-774-2981
Mailing Address - Fax:
Practice Address - Street 1:622 E PLEASANT ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-1526
Practice Address - Country:US
Practice Address - Phone:413-774-2981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA609217OtherTUFTS
MAW10266Medicare UPIN