{"npi":"1104155126","type":"NPI-1","status":"active","name":{"display":"Joseph Montgomery Pmhnp-Bc","other":[],"first":"JOSEPH","last":"MONTGOMERY","middle":"PAUL","credential":"PMHNP-BC"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"101YP2500X","description":"Professional Counselor","primary":false,"state":"MI","license":"6401011520"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"MI","license":"4704318966"}]},"addresses":[{"purpose":"LOCATION","street_1":"24715 LITTLE MACK AVE STE 200","city":"SAINT CLAIR SHORES","state":"MI","postal_code":"480803207","country_code":"US","phone":"5867779000","fax":"5867770823"},{"purpose":"MAILING","street_1":"24715 LITTLE MACK AVE STE 200","city":"SAINT CLAIR SHORES","state":"MI","postal_code":"480803207","country_code":"US","phone":"5867779000","fax":"5867770823"}],"license":{"state":"MI","number":"4704318966"},"identifiers":[{"type_code":"01","label":"Other","value":"75091042","state":"MI","issuer":"BLUE CROSS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20201217001816","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MI","pac_id":"6507278488"}]},"enumeration_date":"2009-12-22","last_updated":"2025-05-07","_meta":{"source":"NPPES","snapshot_date":"2025-05-07","doc_url":"https://findmynpi.com/api"}}