PSYCHIATRIC CONSULTANTS OF MONTANA, PLLC (NPI# 1083053367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083053367 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRIC CONSULTANTS OF MONTANA, PLLC |
| Practice Address |
100 E Broadway St 412 Butte MT 59701-9351 |
| Practice Telephone | 4064910288 |
| Practice Fax Number | 4062993339 |
| Mailing Telephone | 4064910288 |
| Mailing Fax Number | 4062993339 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |
| Authorized Official Name | MS. DANIELLE MARIE BERTRAM (OWNER) |
| Authorized Official Telephone | 4064910288 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NURRNLIC67645 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 E BROADWAY ST 412 |
| City | BUTTE |
| State | MT |
| Zip Code | 59701-9351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580147 | Meighan Robbins | Counselor | 3147 Wynne Ave, Butte, MT 59701 | 2019-04-01 |
| 1982174538 | Michael Jon Dahle | Social Worker | 81 W. Park St., Butte, MT 59701 | 2018-11-27 |
| 1023534997 | Kari Williams | Specialist/Technologist | 400 S Clark St., Butte, MT 59701 | 2017-08-22 |
| 1932630191 | Laura Leigh Watson | Social Worker | 3509 Whiteway, Butte, MT 59701 | 2017-03-21 |
| 1386181824 | Charles Raymond Canty | Orthopaedic Surgery | 3441 Quincy St., Butte, MT 59701 | 2017-01-23 |
| 1528500899 | Janette A Reget | Social Worker | 235 S. Crystal St., Butte, MT 59701 | 2016-11-17 |
| 1851761662 | Robin Catherine Becker | Nurse Practitioner | 209 S Montana St Ste B4, Butte, MT 59701 | 2015-10-06 |
| 1336546043 | Sara Rachel Brackett | Reflexologist | 1114 Maryland, Butte, MT 59701 | 2014-11-24 |
| 1548676117 | Laurie Ann Butkay | Technician/Technologist | 3417 Busch, Butte, MT 59701 | 2014-07-03 |
| 1760801930 | Julie Ann Monson | Counselor | 3738 Harrison Ave, Butte, MT 59701 | 2014-04-15 |
| Find all providers in zip 59701 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073142717 | Tommie L Perusich, PC | Nurse Practitioner | 209 S Montana St Ste B3, Butte, MT 59701-1645 | 2020-04-04 |
| 1023586377 | Eleanor Stacey Combs | Nurse Practitioner | 101 Ponderosa Dr, Butte, MT 59701-7318 | 2018-11-05 |
| 1851761662 | Robin Catherine Becker | Nurse Practitioner | 209 S Montana St Ste B4, Butte, MT 59701 | 2015-10-06 |
| 1114467081 | Peggy Jane Wolstein | Nurse Practitioner | 55 Basin Creek Rd, Butte, MT 59701 | 2017-02-27 |
| 1558701672 | Allison G Moon | Nurse Practitioner | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2013-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053940791 | Christina Louise Borst | Nurse Practitioner | 124 Main Ave N, Choteau, MT 59422-9410 | 2020-04-04 |
| 1043845142 | Samuel R Nave | Nurse Practitioner | 211 Flathead Ave, Bozeman, MT 59718-6339 | 2020-03-09 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386288694 | David Charles Jansch | Nurse Practitioner | 400 Conley Lake Rd, Deer Lodge, MT 59722-8708 | 2019-10-30 |
| 1255992129 | Huston Psychiatric Services LLC | Nurse Practitioner | 1806 11th Ave, Helena, MT 59601-4768 | 2019-06-21 |
| 1235799032 | Jenna Lynn Belobraidic Kuru | Nurse Practitioner | 3131 Oliver St, Bozeman, MT 59718-6066 | 2019-06-14 |
| 1467016683 | Lovell Mental Health | Nurse Practitioner | 841 E Center St, Dillon, MT 59725-3211 | 2019-04-23 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1437665650 | Susanna Darr Aprn Pllc | Nurse Practitioner | 1800 W Koch St Ste 5, Bozeman, MT 59715-1301 | 2017-12-26 |
| 1366991515 | Wade Hill | Nurse Practitioner | 11 W Main St Ste 217, Belgrade, MT 59714-3739 | 2016-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.