DR. CANDICE MARIE TATE (NPI# 1396912655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396912655 |
| Entity Type | Individual |
| Full Name | DR. CANDICE MARIE TATE |
| Credential | PH.D. |
| Practice Address |
510 S 23rd Ave Bozeman MT 59718-3963 |
| Mailing Address |
Po Box 323 Bozeman MT 59771-0323 |
| Practice Telephone | 4064147084 |
| Practice Fax Number | 3035680495 |
| Mailing Telephone | 4064147084 |
| Mailing Fax Number | 3035680495 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2013-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1195 | MT | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
3093 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063474013 | Candice Tate | Psychiatry & Neurology | 400 Galleria Pkwy Se, Suite 1500, Atlanta, GA 30339-5980 | 2006-04-05 |
| 1962063636 | Candice Nicole Tate | Behavioral Analyst | 44617 S Airport Rd, Hammond, LA 70403-0311 | 2019-06-24 |
| 1346623493 | Candice Tate | Nurse Practitioner | 1600 Forsyth St, Macon, GA 31201-1408 | 2015-07-08 |
| Street Address |
510 S 23RD AVE |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59718-3963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326574930 | Mental Health America of Montana | Counselor | 510 S 23rd Ave, Bozeman, MT 59718-3963 | 2017-05-03 |
| 1710135777 | Purple Monarch, Pllc | Psychologist | 510 S 23rd Ave, Bozeman, MT 59718-3963 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
| 1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
| 1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
| 1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
| 1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
| 1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
| 1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
| 1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
| Find all providers in zip 59718 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1700390085 | Hillary Kaitlin Morin | Psychologist | 5 W Mendenhall St Ste 202, Bozeman, MT 59715-3559 | 2017-11-26 |
| 1407214968 | Kathryn Darnell | Psychologist | 502 S 19th Ave Ste 300, Bozeman, MT 59718-6810 | 2016-01-29 |
| 1891116117 | Leightnup Psychology Services PC | Psychologist | 935 Highland Blvd Suite 2200, Bozeman, MT 59715-6902 | 2014-01-05 |
| 1265875124 | Samantha Nicole White | Psychologist | 211 Swingle Building, Montana State University, Bozeman, MT 59717-3180 | 2013-04-10 |
| 1770884512 | Eduardo F Duran | Psychologist | 37 E Main St Ste 7, Bozeman, MT 59715-4739 | 2010-11-10 |
| 1194902726 | Adrian B Utsch | Psychologist | 300 N Willson Ave Ste 3005-6, Bozeman, MT 59715-3537 | 2008-01-25 |
| 1053503169 | Catherine Anne Maclean | Psychologist | 3825 Valley Commons Dr, Ste 4, Bozeman, MT 59718-6435 | 2007-08-13 |
| 1407997471 | Jacqueline H Stanley | Psychologist | 1043 Stoneridge Dr Ste 2, Bozeman, MT 59718-7084 | 2007-02-10 |
| 1891857918 | James Patrick Murphey | Psychologist | 333 Haggerty Ln Ste 1, Bozeman, MT 59715-1780 | 2006-12-14 |
| 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.