MARY K BOGUMILL (NPI# 1295960003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295960003 |
| Entity Type | Individual |
| Full Name | MARY K BOGUMILL |
| Other Name | MARY K BOGUMILL |
| Credential | PHD |
| Practice Address |
2475 E Broadway St Helena MT 59601-4928 |
| Practice Telephone | 4064442288 |
| Practice Fax Number | 4064442163 |
| Mailing Telephone | 4064442288 |
| Mailing Fax Number | 4064442163 |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | MT | Behavioral Health & Social Service Providers |
| Street Address |
2475 E BROADWAY ST |
| City | HELENA |
| State | MT |
| Zip Code | 59601-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453324 | Mark S Kreisberg | Internal Medicine | 2475 E Broadway St, Helena, MT 59601-4928 | 2005-08-02 |
| 1891392999 | Emma Johnson | Physician Assistant | 2475 E Broadway St, Helena, MT 59601-4928 | 2020-10-02 |
| 1124642350 | Andeelyn Wardell | Nurse Practitioner | 2475 E Broadway St, Helena, MT 59601-4928 | 2020-06-03 |
| 1992331375 | Alexander Jewett | Physician Assistant | 2475 E Broadway St, Helena, MT 59601-4999 | 2020-03-18 |
| 1083257489 | Maryann Elizabeth Beach | Physician Assistant | 2475 E Broadway St, Helena, MT 59601-4928 | 2019-10-18 |
| 1265073647 | Shea Adair Fanning | Pharmacist | 2475 E Broadway St, Helena, MT 59601-4928 | 2019-10-07 |
| 1104477488 | Heather Safransky | Nurse Practitioner | 2475 E Broadway St, Helena, MT 59601-4928 | 2019-09-26 |
| 1821564980 | Kaitlyn Jae Deaton | Pharmacist | 2475 E Broadway St, Helena, MT 59601-4928 | 2018-10-16 |
| 1427551761 | Tolly Joan Patten | Dietitian, Registered | 2475 E Broadway St, Helena, MT 59601-4928 | 2018-03-13 |
| 1144734971 | Jennifer Colegrove | Dietitian, Registered | 2475 E Broadway St, Helena, MT 59601-4928 | 2017-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208957 | Tammara Ann Rosenleaf | Counselor | 25 South Ewing St, Suite 525, Helena, MT 59601 | 2020-09-04 |
| 1386287795 | Intermountain Chiropractic | Chiropractor | 62 S Last Chance Gulch St. #a, Helena, MT 59601 | 2019-10-18 |
| 1417443086 | Christopher Robert Vanhorssen | Nurse Practitioner | 2619 Colonial Dr # A, Helena, MT 59601 | 2018-07-07 |
| 1548754914 | Morgan M Wagner | Physical Therapist | 25 Neill Ave, Ste 209, Helena, MT 59601 | 2018-06-19 |
| 1598254534 | Meghan E. Harrington | Speech-Language Pathologist | 15 W 6th Ave Unit H2, Helena, MT 59601 | 2018-05-04 |
| 1952820219 | Susan Wood | Physical Therapist | 3207 Colonial Dr, Helena, MT 59601 | 2017-09-18 |
| 1992223200 | James E Dempsey | Counselor | 1201 Leslie Ave, Helena, MT 59601 | 2017-09-07 |
| 1770005811 | Big Sky Managed Care | Pharmacy | 900 Jackson St Ste A, Helena, MT 59601 | 2017-07-11 |
| 1760916084 | Adrian D Strange | Physical Therapy Assistant | 2475 Winne Avenue, Helena, MT 59601 | 2017-04-13 |
| 1821539909 | Survivors Boutique | Prosthetic/Orthotic Supplier | 1054 Helena Ave, Helena, MT 59601 | 2017-03-09 |
| Find all providers in zip 59601 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073662698 | James Verrill English | Clinical Neuropsychologist | 7 W 6th Ave Ste 4g, Helena, MT 59601-5072 | 2007-01-10 |
| 1043756323 | Aune Neuropsychological Services | Clinical Neuropsychologist | 3240 Dredge Dr, Helena, MT 59602-0548 | 2017-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780055640 | Craig Mcfarland | Clinical Neuropsychologist | 313 E Beckwith Ave, Missoula, MT 59801-5838 | 2015-10-16 |
| 1477604882 | Brenda Kay Roche | Clinical Neuropsychologist | 1523 Wyoming Ave, Billings, MT 59102-4105 | 2007-01-13 |
| 1619073327 | Cory Dean Hessel | Clinical Neuropsychologist | 400 15th Ave S, Great Falls, MT 59405-4375 | 2006-09-16 |
| 1538194659 | Debra Joy Sheppard | Clinical Neuropsychologist | 1655 Shiloh Rd Ste D, Billings, MT 59106-1726 | 2006-07-11 |
| 1346273968 | Montana Neurocare Pllc | Clinical Neuropsychologist | 2825 Fort Missoula Rd Ste 301, Missoula, MT 59804-7403 | 2006-07-08 |
| 1750323507 | Joseph K Mcelhinny | Clinical Neuropsychologist | 1643 Lewis Ave, Suite 7, Billings, MT 59102-4151 | 2006-06-12 |
| 1285685800 | Robert Velin | Clinical Neuropsychologist | 1622 South Ave W, Missoula, MT 59801-7804 | 2006-05-16 |
| 1255679411 | Robert Stuart Hall | Clinical Neuropsychologist | 1444 Mansfield Ave, Missoula, MT 59812-0001 | 2013-01-23 |
| 1063797686 | Bria A Dunkin | Clinical Neuropsychologist | 601 W Spruce St Ste K, Missoula, MT 59802-4047 | 2011-10-14 |
| 1245487784 | Jera Lynn Stewart | Clinical Neuropsychologist | 35401 Mission Drive, St. Ignatius, MT 59865 | 2008-08-27 |
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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.