DR. BRENDA KAY ROCHE (NPI# 1477604882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477604882 |
| Entity Type | Individual |
| Full Name | DR. BRENDA KAY ROCHE |
| Credential | PH.D. |
| Practice Address |
1523 Wyoming Ave Billings MT 59102-4105 |
| Mailing Address |
Po Box 21359 Billings MT 59104-1359 |
| Practice Telephone | 4062724990 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2016-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 420 | WY | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | 357 | MT | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 420 | WY | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 357 | MT | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
420 | WY | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
357 | MT | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
420 | WY | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
357 | MT | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
420 | WY | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
357 | MT | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
420 | WY | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
357 | MT | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
420 | WY | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
357 | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS BLUE SHIELD | 52431 | 01 |
| WY | WYOMING EQUALITY CARE | 1206672 00 | 01 |
| MT | PREFERRED ONE | 180461042494 | 01 |
| MT | 0492405 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346344892 | Brenda Roche | Nurse Practitioner | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-09-12 |
| Street Address |
1523 WYOMING AVE |
| City | BILLINGS |
| State | MT |
| Zip Code | 59102-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313740 | Ideal Balance Pllc | Community/Behavioral Health | 1523 Wyoming Ave, Billings, MT 59102-4105 | 2020-03-27 |
| 1972055267 | Family Works for Kids Pllp | Community/Behavioral Health | 1523 Wyoming Ave, Billings, MT 59102-4105 | 2016-11-02 |
| 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 | 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 |
|---|---|---|---|---|
| 1538194659 | Debra Joy Sheppard | Clinical Neuropsychologist | 1655 Shiloh Rd Ste D, Billings, MT 59106-1726 | 2006-07-11 |
| 1750323507 | Joseph K Mcelhinny | Clinical Neuropsychologist | 1643 Lewis Ave, Suite 7, Billings, MT 59102-4151 | 2006-06-12 |
| 1124199831 | Debra Sheppard Phd PC | Clinical Neuropsychologist | 1655 Shiloh Rd Ste D, Billings, MT 59106-1726 | 2006-11-13 |
| 1144263096 | K. Rebecca Davis | Clinical Neuropsychologist | 1101 N 27th St, Suite 201, Billings, MT 59101-0101 | 2006-06-14 |
| 1689617532 | David Gumm | Clinical Neuropsychologist | 1101 N 27th St, Suite 201, Billings, MT 59101-0101 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780055640 | Craig Mcfarland | Clinical Neuropsychologist | 313 E Beckwith Ave, Missoula, MT 59801-5838 | 2015-10-16 |
| 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 |
| 1346273968 | Montana Neurocare Pllc | Clinical Neuropsychologist | 2825 Fort Missoula Rd Ste 301, Missoula, MT 59804-7403 | 2006-07-08 |
| 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 |
| 1063797686 | Bria A Dunkin | Clinical Neuropsychologist | 601 W Spruce St Ste K, Missoula, MT 59802-4047 | 2011-10-14 |
| 1295960003 | Mary K Bogumill | Clinical Neuropsychologist | 2475 E Broadway St, Helena, MT 59601-4928 | 2009-05-22 |
| 1245487784 | Jera Lynn Stewart | Clinical Neuropsychologist | 35401 Mission Drive, St. Ignatius, MT 59865 | 2008-08-27 |
| 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.