FUNDERBURK PSYCHOLOGICAL SERVICES (NPI# 1194326462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194326462 |
| Entity Type | Organization |
| Organization Name | FUNDERBURK PSYCHOLOGICAL SERVICES |
| Practice Address |
38 E Washington St Kalispell MT 59901-3975 |
| Mailing Address |
15 Carnegie Dr Ste D Kalispell MT 59901-2579 |
| Practice Telephone | 4067991366 |
| Mailing Telephone | 4067991366 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | DR. BRITTNI A FUNDERBURK (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 4067991366 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
38 E WASHINGTON ST |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457405201 | Joni Mamica | Social Worker | 38 E Washington St, Kalispell, Kalispell, MT 59901-3975 | 2007-01-22 |
| 1649711672 | Darrick Fishel | Counselor | 38 E Washington St, Suite 6, Kalispell, MT 59901-3975 | 2017-03-09 |
| 1790117000 | Camalla Larson | Social Worker | 38 E Washington St, Ste 3, Kalispell, MT 59901-3974 | 2013-08-08 |
| 1124307913 | Abby M Dubois | Massage Therapist | 38 E Washington St, Suite C, Kalispell, MT 59901-3975 | 2011-08-10 |
| 1598085136 | Dancing Sun, Ltd | Community/Behavioral Health | 38 E Washington St, #3, Kalispell, MT 59901-3975 | 2010-06-06 |
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598234858 | Alpenglow Clinic LLC | Clinic/Center | 285 2nd Avenue West N Ste 101, Kalispell, MT 59901-3910 | 2018-11-16 |
| 1235681248 | Arima Counseling | Clinic/Center | 536 W Reserve Dr, Kalispell, MT 59901-2125 | 2016-10-26 |
| 1457637258 | Keh Inc | Clinic/Center | 307 1st Ave E, Suite 17, Kalispell, MT 59901-4978 | 2011-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811527963 | Ascension Counseling of Montana Inc. | Clinic/Center | 717 Sonoma Dr, Helena, MT 59601-8632 | 2020-01-16 |
| 1992344063 | Pioneer Counseling and Wellness, Pllc | Clinic/Center | 730 N Montana St Ste 11, Dillon, MT 59725-8497 | 2020-01-06 |
| 1760903041 | Espe Navigation Group, LLC | Clinic/Center | 2112 Dixon Ave Ste 5, Missoula, MT 59801-8226 | 2017-06-27 |
| 1376809061 | North Valley Hospital, Inc | Clinic/Center | 3004 Hospital Way, Whitefish, MT 59937 | 2012-04-06 |
| 1003086950 | Blue Diamond Psychiatric Services, PC | Clinic/Center | 432 N Last Chance Gulch, Suite G, Helena, MT 59601-5014 | 2008-03-06 |
| 1871780056 | Jane Fisher Phd PC | Clinic/Center | 304 E Broadway, Helena, MT 59601-4237 | 2007-10-01 |
| 1619161023 | New Leaf Associates, LLC | Clinic/Center | 2360 Butch Cassidy Dr, Bozeman, MT 59718-9310 | 2007-08-29 |
| 1942492152 | Schaefer Psychiatric Services, Pllp | Clinic/Center | 4185 N Montana Ave, Suite 5, Helena, MT 59602-7665 | 2007-08-11 |
| 1558483206 | Hkj Inc | Clinic/Center | 1120 Cedar St, Missoula, MT 59802-3911 | 2007-04-04 |
| 1326673617 | Spot To Talk, A Licensed Clinical Social Worker Corporation | Clinic/Center | 191 Jewel Basin Ct Ste 3d, Bigfork, MT 59911-6294 | 2020-03-06 |
| 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.