JACOB TYLER SHOENLEBEN (NPI# 1336707850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336707850 |
| Entity Type | Individual |
| Full Name | JACOB TYLER SHOENLEBEN |
| Credential | PSYD |
| Practice Address |
1775 Spring Creek Dr Billings MT 59102 |
| Mailing Address |
1775 Spring Creek Dr Billings MT 59102-6754 |
| Practice Telephone | 4063733619 |
| Mailing Telephone | 4063733500 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P.07866 | OH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4100 W 3rd St, Dayton, OH 454289000 | 9372686511 | |
| 1775 Spring Creek Dr, Billings, MT 59102 | 4063733619 |
| Street Address |
1775 SPRING CREEK DR |
| City | BILLINGS |
| State | MT |
| Zip Code | 59102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568410595 | Montana Vamc | Department of Veterans Affairs (VA) Pharmacy | 1775 Spring Creek Dr, Billings, MT 59102-6754 | 2006-05-04 |
| 1760082630 | Melanie Renee Bullock | Social Worker | 1775 Spring Creek Dr, Billings, MT 59102-6754 | 2020-10-29 |
| 1770040172 | Montana Vamc | Clinic/Center | 1775 Spring Creek Dr, Billings, MT 59102-6754 | 2019-02-22 |
| 1306350103 | Karen Sue Walker | Social Worker | 1775 Spring Creek Dr, Billings, MT 59102-6754 | 2017-12-01 |
| 1649784109 | Cherie Lou Mitchell | Social Worker | 1775 Spring Creek Dr, Billings, MT 59102-6754 | 2017-11-20 |
| 1710079843 | Lynda Ann Stoner | Internal Medicine | 1775 Spring Creek Dr, Billings Va Cboc, Billings, MT 59102-6754 | 2006-09-28 |
| 1013017680 | Michael D. Monday | Family Medicine | 1775 Spring Creek Dr, Billings, MT 59102-6754 | 2006-09-24 |
| 1942210208 | Tracey Deann Miller | Nurse Practitioner | 1775 Spring Creek Dr, Billings, MT 59102-6754 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402336 | Stephanie Diane Adkins | Counselor | 1726 Lampman Dr., Billings, MT 59102 | 2020-06-19 |
| 1366072563 | Carrie L Barton | Assistant Behavior Analyst | 1701 Avenue E Suite A, Billings, MT 59102 | 2020-01-16 |
| 1407418080 | Lori Lyn Strickler | Massage Therapist | 2901 Monad Road, Apt. 99, Billings, MT 59102 | 2019-07-03 |
| 1649754300 | Native American Development Corporation | Clinic/Center | 1230 North 30th Street, Billings, MT 59102 | 2018-09-19 |
| 1396235818 | Better Times Recovery Services LLC | Clinic/Center | 1925 Grand Ave Ste 103, Billings, MT 59102 | 2018-05-10 |
| 1982118428 | Family Support Network | Counselor | 1002 10th Street West, Suite 1, Billings, MT 59102 | 2017-11-20 |
| 1598281859 | Billings Clinic Specialty Supplies and Services, LLC | Durable Medical Equipment & Medical Supplies | 1015 Broadwater Ave Ste 102, Billings, MT 59102 | 2017-08-18 |
| 1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
| 1326586124 | Bailey K. Wilson | Behavior Technician | 3101 Lynn Ave., Apt. #3, Billings, MT 59102 | 2017-02-01 |
| 1588108120 | Angela Grimm | Counselor | 1200 30th St W, Billings, MT 59102 | 2016-12-16 |
| Find all providers in zip 59102 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366907545 | Karen J. Kietzman. Psy.d., Inc. | Psychologist | 2475 Village Ln Ste 104, Billings, MT 59102-2497 | 2019-02-01 |
| 1811328800 | Marie Schaaf Gallagher | Psychologist | 2412 Pine St, Billings, MT 59101-0533 | 2013-12-02 |
| 1245674431 | Juliet F Lamonaca | Psychologist | 1629 Avenue D Ste C1, Billings, MT 59102-3042 | 2013-04-18 |
| 1063634327 | Aspen Practice PC | Psychologist | 2810 Central Ave, Suite A, Billings, MT 59102-4651 | 2007-05-03 |
| 1487726733 | William Dee Woolston | Psychologist | 1211 Grand Ave, Suite 5, Billings, MT 59102-4213 | 2006-11-14 |
| 1093801300 | Lindell Lewis Gumper | Psychologist | 303 North Broadway, Suite 822, Billings, MT 59101 | 2006-10-05 |
| 1497795694 | Michael Ray Butz | Psychologist | 1430 Country Manor Blvd, Ste. 5, Billings, MT 59102-7651 | 2006-06-07 |
| 1477544039 | Philip Alvin House | Psychologist | 1629 Avenue D, Bldg B, Suite 2, Billings, MT 59102-3042 | 2005-11-02 |
| 1356343842 | Andrea Senteney Fiscus | Psychologist | 1643 24th St W, Suite 309, Billings, MT 59102-2677 | 2005-08-15 |
| 1144591769 | Philip A House, Psy D, PC | Psychologist | 1629 Avenue D, Bldg B, Ste 2, Billings, MT 59102-3042 | 2012-01-13 |
| Find all providers in BILLINGS | ||||
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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.