JACQUELINE S WILSON (NPI# 1568403640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568403640 |
| Entity Type | Individual |
| Full Name | JACQUELINE S WILSON |
| Credential | M.D. |
| Practice Address |
321 E Main St Suite 309 Bozeman MT 59715-6241 |
| Practice Telephone | 4065867515 |
| Practice Fax Number | 4065220481 |
| Mailing Telephone | 4065867515 |
| Mailing Fax Number | 4065220481 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2008-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
8315 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0152425 | 05 | |
| MT | BCBS | 93296 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687791 | Jacqueline Latia Wilson | Nurse Practitioner | 225 N Clifton Ave, Louisville, KY 40206-2496 | 2019-09-08 |
| 1790186393 | Jacqueline Wilson | Nurse Practitioner | 1101 Highway 76 Ste A, Clarksville, TN 37043-2420 | 2014-09-15 |
| 1295022622 | Jacqueline A. Wilson | Contractor | 12257 Middlebrook Sq, San Diego, CA 92128-3759 | 2011-07-06 |
| 1225244692 | Jacqueline Golden Wilson | Occupational Therapist | 15115 Eastview Dr, Upperco, MD 21155-9746 | 2007-05-15 |
| 1942373212 | Jacqueline Wilson | Counselor | 6 Cabot Pl Ste 6, Stoughton, MA 02072-4625 | 2006-11-16 |
| 1154951556 | Jacqueline Anne Wilson | Nurse Practitioner | 640 S 19th St Ste 100, Nevada, IA 50201-2902 | 2020-01-24 |
| 1457909830 | Jacqueline Lois Reagor Wilson | Speech-Language Pathologist | 9285 Medical Plaza Dr, Charleston, SC 29406-9126 | 2019-08-29 |
| 1245735943 | Jacqueline Wilson | Nurse Practitioner | 284 Highway 641 N, Camden, TN 38320-1350 | 2018-03-26 |
| 1457852014 | Jacqueline Wilson | Social Worker | 2219 Claiborne Ave, Shreveport, LA 71103-4301 | 2018-02-27 |
| 1801348636 | Jacqueline Sue Wilson | Physical Therapist | 901 N Porter Ave, Norman, OK 73071-6404 | 2016-10-27 |
| Street Address |
321 E MAIN ST SUITE 309 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-6241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669002614 | Bozeman Therapy & Counseling | Clinic/Center | 321 E Main St, St 418, Bozeman, MT 59715 | 2020-01-17 |
| 1316415763 | Jonathan Bateman | Counselor | 321 E Main St, Bozeman, MT 59715-6241 | 2018-11-04 |
| 1679048045 | Center Counseling, PC | Counselor | 321 E Main St, Suite 407, Bozeman, MT 59715 | 2018-10-11 |
| 1043669997 | Kathryn Tuchscherer Franklin | Counselor | 321 E Main St, Suite 417a, Bozeman, MT 59715-6241 | 2016-06-10 |
| 1376952374 | Elizabeth Allen | Massage Therapist | 321 E Main St, #204, Bozeman, MT 59715-6241 | 2014-08-05 |
| 1275941940 | Jennifer R Millner | Counselor | 321 E Main St, Suite 417a, Bozeman, MT 59715-6241 | 2014-07-25 |
| 1174811061 | Gwendolyn Ailive Jones | Counselor | 321 E Main St, Suite 201, Bozeman, MT 59715-6241 | 2011-07-13 |
| 1497078083 | Amy Aldrich | Counselor | 321 E Main St, Suite 409, Bozeman, MT 59715-6241 | 2010-03-10 |
| 1568648558 | Melissa Costigan Davis | Counselor | 321 E Main St, #321, Bozeman, MT 59715-6241 | 2008-01-21 |
| 1407039878 | Rachelle Heilweil | Counselor | 321 E Main St, Suite 300, Bozeman, MT 59715-6241 | 2007-12-08 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073984019 | Jeff Green Md PC | Psychiatry & Neurology | 1800 W Koch St, Unit 5, Bozeman, MT 59715-1301 | 2015-10-16 |
| 1285953885 | John Peters | Psychiatry & Neurology | 23 Gardner Park Dr, Bozeman, MT 59715-9229 | 2010-05-20 |
| 1902075419 | Bridger Psychiatric Services PC | Psychiatry & Neurology | 2040 N 22nd Ave Ste 2, Bozeman, MT 59718-3152 | 2008-02-28 |
| 1649499716 | Gary Marc Lande | Psychiatry & Neurology | 4738 Meadow Ln, Bozeman, MT 59715-9631 | 2007-04-25 |
| 1265561898 | Patricia Fowlie | Psychiatry & Neurology | 321 E Main St Ste 304, Bozeman, MT 59715-4731 | 2007-03-02 |
| 1629118419 | Janel Sparling Carino | Psychiatry & Neurology | 420 Meadowlark Drive, Bozeman, MT 59718 | 2007-02-08 |
| 1508955477 | Leah Lois Thronson | Psychiatry & Neurology | 333 Haggerty Ln, Suite 14, Bozeman, MT 59715-1779 | 2006-10-11 |
| 1659482974 | Psychiatry Associates PC | Psychiatry & Neurology | 895 Technology Blvd, Ste 201, Bozeman, MT 59718-6811 | 2006-08-31 |
| 1346276888 | Anne Marie Thomas | Psychiatry & Neurology | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2006-06-25 |
| 1861660524 | Jessica Stone | Psychiatry & Neurology | 1648 Ellis St, Suite 302, Bozeman, MT 59715-8810 | 2008-02-15 |
| Find all providers in BOZEMAN | ||||
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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.