DR. SANDRA LOTSHAW MICKEN (NPI# 1851431407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851431407 |
| Entity Type | Individual |
| Full Name | DR. SANDRA LOTSHAW MICKEN |
| Credential | PH.D. |
| Practice Address |
3687 Veterans Dr Fort Harrison MT 59636-9700 |
| Practice Telephone | 4064476000 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2017008168 | MO | Behavioral Health & Social Service Providers |
| Street Address |
3687 VETERANS DR |
| City | FORT HARRISON |
| State | MT |
| Zip Code | 59636-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700867181 | Johanna M Seliskar | Social Worker | 3687 Veterans Dr, Fort Harrison, MT 59636-9703 | 2005-11-11 |
| 1841801230 | Kale Lemelin | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-08-11 |
| 1992315378 | Christy Ann Leland | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-07-31 |
| 1336766252 | Kelsey Wohlfrom | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-06-26 |
| 1811511678 | Brandon Reiff | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-06-07 |
| 1881229722 | Antonette Darlington | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-03-11 |
| 1922631357 | Jason Willhardt | Spec/Tech, Pathology | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-02-13 |
| 1083245773 | Traci Huynh | Counselor | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-01-31 |
| 1487299053 | Vance E Lavinder | Social Worker | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2019-11-07 |
| 1477104792 | Shalae Herbert Jessop | Technician | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2019-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003173717 | James Kevin Mowery | Registered Nurse | Va Montana Medical Center Emergency Department, 3687 Veterans Drive, Ft Harrison, MT 59636 | 2012-04-19 |
| 1639436983 | Kathleen Hulett | Registered Nurse | 3687 Veteran's Drive, Va Medical Center, Fort Harrison, MT 59636 | 2012-04-11 |
| 1437385093 | Madonna Therese Stepanek | Social Worker | 3684 Veterans Dr., Fort Harrison, MT 59636 | 2009-06-09 |
| 1083795553 | Anthony James Menichino | Surgery | 600 Williams Street, Fort Harrison, MT 59636 | 2006-10-18 |
| 1124109137 | Connie J Miller | Speech-Language Pathologist | Fort Harrision Montana, 1892 Williams St, Fort Harrison, MT 59636 | 2006-10-17 |
| 1346339389 | Dana Sue Nehring | Internal Medicine | 1892 William St, Fort Harrison, MT 59636 | 2006-10-11 |
| 1780772921 | Beverly Ann Sickert-mchugh | Nurse Practitioner | Fort Harrison Vamc, Fort Harrison, MT 59636 | 2006-10-11 |
| 1366540460 | Gregory Ross Johnson | Surgery | 1892 Williams St., Department of Surgery (112) Va Montana Healthcare, Fort Harrison, MT 59636 | 2006-09-20 |
| 1356459085 | Kurt E Werner | Family Medicine | 1892veterans Way, Va Hospital, Fort Harrison, MT 59636 | 2006-08-25 |
| 1588771604 | Susan Ann Askin | Internal Medicine | 1500 Williams St, Fort Harrison, MT 59636 | 2006-08-24 |
| Find all providers in zip 59636 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407331010 | Jennifer Leigh Wills | Psychologist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2018-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110189 | Integrative Psychotherapy & Mind-body Medicine, LLC | Psychologist | 144 Wickwire Way, Bozeman, MT 59718-9670 | 2020-07-02 |
| 1194365296 | Treasure State Psychological Services, Inc | Psychologist | 4185 N Montana Ave Ste 5, Helena, MT 59602-7668 | 2020-01-07 |
| 1194379396 | Matthew Colon | Psychologist | 7 W Main St Ste 207, Bozeman, MT 59715-4695 | 2019-07-26 |
| 1790341998 | Laura Lopach, LLC | Psychologist | 118 W Sussex Ave, Missoula, MT 59801-6845 | 2019-05-13 |
| 1821652819 | Jordan Fiorillo Scotti | Psychologist | 144 2nd Street, Whitefish, MT 59937 | 2019-04-25 |
| 1598234239 | Edward Lesofski | Psychologist | 400 Expressway Ste D, Missoula, MT 59808-1536 | 2018-11-23 |
| 1063924330 | Peach Tree Academy | Psychologist | 1039 Stoneridge Dr, Bozeman, MT 59718-7056 | 2017-10-26 |
| 1245775691 | Tri-county Special Education Cooperative | Psychologist | 119 N Park Ave., Broadus, MT 59317-0718 | 2016-12-21 |
| 1992256960 | Katherine M Flynn Psyd Pllc | Psychologist | 111 N Last Chance Gulch Ste 2a, Helena, MT 59601-4144 | 2016-10-14 |
| 1912311549 | Terri Fernandez-tyson | Psychologist | 301 N Warren St, Helena, MT 59601-4030 | 2014-06-11 |
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| City | FORT HARRISON |
| Zip Code | 59636 |
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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.