Basic Information
| Provider Information | |||||||||
| NPI: | 1194050393 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MONTANA PSYCHIATRY, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3737 GRAND AVE | ||||||||
| Address2: | SUITE 6 | ||||||||
| City: | BILLINGS | ||||||||
| State: | MT | ||||||||
| PostalCode: | 591026258 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4068392985 | ||||||||
| FaxNumber: | 4068392986 | ||||||||
| Practice Location | |||||||||
| Address1: | 3737 GRAND AVE | ||||||||
| Address2: | SUITE 6 | ||||||||
| City: | BILLINGS | ||||||||
| State: | MT | ||||||||
| PostalCode: | 591026258 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4068392985 | ||||||||
| FaxNumber: | 4068392986 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/06/2009 | ||||||||
| LastUpdateDate: | 10/22/2021 | ||||||||
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| AuthorizedOfficialLastName: | AMATO | ||||||||
| AuthorizedOfficialFirstName: | ERIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGING PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 4068392985 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 10/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0804X | 11566 | MT | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry | 2084P0805X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Geriatric Psychiatry | 2084P0800X | 11566 | MT | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.