ROCKY MOUNTAIN NEUROPSYCHOLOGY PLLC (NPI# 1316089451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316089451 |
Entity Type | Organization |
Organization Name | ROCKY MOUNTAIN NEUROPSYCHOLOGY PLLC |
Practice Address |
1648 Ellis St #302 Bozeman MT 59715-8810 |
Practice Telephone | 4065824466 |
Practice Fax Number | 4065871513 |
Mailing Telephone | 4065824466 |
Mailing Fax Number | 4065871513 |
Enumeration Date | 2007-02-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JEFFREY MICHAEL CORY (OWNER MEMBER) |
Authorized Official Telephone | 4065824466 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 368 | MT | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 0493221 | 05 | |
MT | BCBS MT | 52571 | 01 |
Street Address |
1648 ELLIS ST #302 |
City | BOZEMAN |
State | MT |
Zip Code | 59715-8810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164463642 | Marla Ann Davis | Physical Therapist | 1648 Ellis St, Bozeman, MT 59715-8811 | 2006-06-08 |
1902246382 | Harry Fred Brandt Jr. | Orthotist | 1648 Ellis St, Bozeman, MT 59715-8810 | 2013-06-28 |
1275894701 | Scott E. Lawson Dds | Dentist | 1648 Ellis St, Suite 202, Bozeman, MT 59715-8810 | 2012-05-31 |
1861660524 | Jessica Stone | Psychiatry & Neurology | 1648 Ellis St, Suite 302, Bozeman, MT 59715-8810 | 2008-02-15 |
1083896757 | Michele C. Mckinnie, Psy.d., PC | Psychologist | 1648 Ellis St, Suite 302, Bozeman, MT 59715-8810 | 2007-12-04 |
1952420259 | Deborah Lenore Hapcic | Physical Therapist | 1648 Ellis St, Suite 101, Bozeman, MT 59715-8810 | 2007-03-28 |
1629122544 | William Bernard Ryan | Psychologist | 1648 Ellis St, Suite 302, Bozeman, MT 59715 | 2007-01-22 |
1902969983 | Michele Catherine Mckinnie | Psychologist | 1648 Ellis St, Suite 302, Bozeman, MT 59715-8810 | 2006-12-19 |
1427110600 | Jeffrey Michael Cory | Clinical Neuropsychologist | 1648 Ellis St, Suite 302, Bozeman, MT 59715-8810 | 2006-12-14 |
1407878549 | Bridger Ear, Nose and Throat Pllc | Specialist | 1648 Ellis St, Suite 301, Bozeman, MT 59715-8810 | 2006-07-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
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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 |
---|---|---|---|---|
1427110600 | Jeffrey Michael Cory | Clinical Neuropsychologist | 1648 Ellis St, Suite 302, Bozeman, MT 59715-8810 | 2006-12-14 |
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 |
1073662698 | James Verrill English | Clinical Neuropsychologist | 7 W 6th Ave Ste 4g, Helena, MT 59601-5072 | 2007-01-10 |
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 |
1043756323 | Aune Neuropsychological Services | Clinical Neuropsychologist | 3240 Dredge Dr, Helena, MT 59602-0548 | 2017-01-11 |
1255679411 | Robert Stuart Hall | Clinical Neuropsychologist | 1444 Mansfield Ave, Missoula, MT 59812-0001 | 2013-01-23 |
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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.