SPARK NEUROBEHAVIORAL SOLUTIONS, PLLC (NPI# 1629575667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629575667 |
| Entity Type | Organization |
| Organization Name | SPARK NEUROBEHAVIORAL SOLUTIONS, PLLC |
| Practice Address |
407 W Main St Bozeman MT 59715-4578 |
| Mailing Address |
1707 S Rouse Ave Bozeman MT 59715-5758 |
| Practice Telephone | 4066243632 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |
| Authorized Official Name | LEE PERRY (MANAGING PARTNER) |
| Authorized Official Telephone | 4066243632 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
407 W MAIN ST |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-4578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205062643 | Amy Amidon | Psychologist | 1648 Ellis St Ste 302, Bozeman, MT 59715-8811 | 2009-05-29 |
| 1356980262 | Momentum Psychological Health LLC | Psychologist | 5 W Mendenhall St Ste 202, Bozeman, MT 59715-3566 | 2019-12-26 |
| 1922165455 | Elizabeth Asserson | Psychologist | 121 W Kagy Blvd, Bozeman, MT 59715-6000 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790726354 | William A. Cook | Psychologist | 125 W Granite St, Suite #206, Butte, MT 59701-9215 | 2006-06-08 |
| 1487211561 | Manhattan Area Counseling | Psychologist | 324 East Main Street, Manhattan, MT 59741 | 2019-05-23 |
| 1144695818 | Joseph Wassif | Psychologist | 26 Aspen Ln, Heron, MT 59844-9506 | 2015-12-07 |
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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.