WILLIAM D. PATENAUDE, PHD PC (NPI# 1245400787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245400787 |
| Entity Type | Organization |
| Organization Name | WILLIAM D. PATENAUDE, PHD PC |
| Practice Address |
125 Bank St Ste 310 Missoula MT 59802-4413 |
| Practice Telephone | 4065497325 |
| Mailing Telephone | 4065497325 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |
| Authorized Official Name | MR. WILLIAM D. PATENAUDE (DIRECTOR) |
| Authorized Official Telephone | 4065497325 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 315 | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 1407905086 | 05 |
| Street Address |
125 BANK ST STE 310 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174639199 | Ellen S Dewolfe | Clinical Nurse Specialist | 125 Bank St Ste 310, Missoula, MT 59802-4413 | 2006-08-22 |
| 1801066345 | Thomas J. Clucas, Phd, P.C. | Psychologist | 125 Bank St Ste 310, Missoula, MT 59802-4413 | 2008-03-11 |
| 1538338629 | Sfs Phd Inc | Psychologist | 125 Bank St Ste 310, Missoula, MT 59802-4413 | 2008-02-22 |
| 1891801817 | Ellen S Dewolfe Msn P.C. | Clinical Nurse Specialist | 125 Bank St Ste 310, Missoula, MT 59802-4413 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| 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 |
|---|---|---|---|---|
| 1780055640 | Craig Mcfarland | Clinical Neuropsychologist | 313 E Beckwith Ave, Missoula, MT 59801-5838 | 2015-10-16 |
| 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 |
| 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 |
| 1780809020 | Kelly Lynn Pearce | Clinical Neuropsychologist | 1622 South Ave W, Missoula, MT 59801-7804 | 2007-04-13 |
| 1326174566 | Jacqueline Day | Clinical Neuropsychologist | 1001 Sw Higgins Ave, Suite 207, Missoula, MT 59803-1341 | 2007-02-24 |
| 1386793289 | Patricia Lee Webber | Clinical Neuropsychologist | 1001 Sw Higgins Ave, Suite 207, Missoula, MT 59803-1341 | 2007-01-09 |
| 1295750636 | John Robert Harrison | Clinical Neuropsychologist | 2825 Fort Missoula Rd, Ste 301, Missoula, MT 59804-7403 | 2006-07-13 |
| 1649227059 | Paul Bach | Clinical Neuropsychologist | 900 N Orange St, Third Floor, Missoula, MT 59802-2998 | 2006-05-30 |
| Find all providers in MISSOULA | ||||
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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.