OXYTOCIN (NPI# 1730659699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730659699 |
| Entity Type | Organization |
| Organization Name | OXYTOCIN |
| Practice Address |
1645 Us Highway 93 S Ste D Kalispell MT 59901-5776 |
| Practice Telephone | 4063146565 |
| Practice Fax Number | 4063143566 |
| Mailing Telephone | 4063146565 |
| Mailing Fax Number | 4063146566 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2019-02-19 |
| Authorized Official Name | PAMELA LICCARDI (OWNER/MANAGER) |
| Authorized Official Telephone | 4064078911 |
| Authorized Official Credential | LCPC/LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
1645 US HIGHWAY 93 S STE D |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-5776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038584 | Tyson Roe | Counselor | 1645 Us Highway 93 S Ste D, Kalispell, MT 59901-5776 | 2020-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225106842 | Flathead Valley Chemical Dependency Clinic Inc | Clinic/Center | 1312 N Meridian Rd, Kalispell, MT 59904-0115 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902390651 | New Directions Counseling | Clinic/Center | 2116 Broadwater Ave Ste 205, Billings, MT 59102-4764 | 2018-06-17 |
| 1396235818 | Better Times Recovery Services LLC | Clinic/Center | 1925 Grand Ave Ste 103, Billings, MT 59102 | 2018-05-10 |
| 1942714902 | Patricia Flynn, Lac | Clinic/Center | 1629 Avenue D Ste B4, Billings, MT 59102-3071 | 2017-11-28 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1720513674 | Crow Nation Recovery Center | Clinic/Center | 101 Baacheeitche, Crow Agency, MT 59022 | 2017-04-28 |
| 1386948453 | Misfits, LLC | Clinic/Center | 1111 14th St S Ste C, Great Falls, MT 59405-4656 | 2011-01-04 |
| 1487818928 | New Frontier Addiction Services, Inc. | Clinic/Center | 118 E 7th St Ste 2e, Anaconda, MT 59711-2953 | 2008-07-14 |
| 1053521633 | Alcohol & Drug Services of Gallatin County | Clinic/Center | 2310 N 7th Ave, Bozeman, MT 59715-2550 | 2007-05-23 |
| 1285769786 | Missoula Urban Indian Health Center, Inc. | Clinic/Center | 830 W Central Ave, Missoula, MT 59801-7931 | 2007-02-23 |
| 1629114624 | Chouteau County | Clinic/Center | 1308 Franklin Street, Fort Benton, MT 59442-0459 | 2007-01-29 |
| 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.