Organization Active NPI

Montana Telepsych Solutions Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Helena, MT
National Provider Identifier
1003243064
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NUR-RN-LIC-27589 Issued in MT
Legal business name
MONTANA TELEPSYCH SOLUTIONS INC.
Practice address
4185 N Montana Ave
Suite 5
Helena, MT 59602-7665
Phone
(406) 442-2032
Fax
(406) 442-2097
NPI assigned
Oct 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristy Kay Boese, MSN, APRN
Title
Owner
Phone
(406) 442-2032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X NUR-RN-LIC-27589 MT Primary

Addresses

Primary practice location

4185 N Montana Ave
Suite 5
Helena, MT 59602-7665

Mailing address

4185 N Montana Ave
Suite 5
Helena, MT 59602-7665
Phone (406) 442-2032

Other identifiers 1

IdentifierTypeStateIssuer
1346410701MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141103001791 MT Part B Supplier - Clinic/Group Practice 0648492843 Receives reassigned benefits from 3 practitioners
Practice locations: Helena, MT

National Provider Directory

National Provider Directory

Locations

308 Milwaukee Ave
Deer Lodge, MT 59722
Phone (406) 442-2032

4185 N Montana Ave
Helena, MT 59602
Phone (406) 442-2032

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1003243064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 N MONTANA AVE",
            "address_2": "SUITE 5",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596027665",
            "telephone_number": "406-442-2032",
            "fax_number": "406-442-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 N MONTANA AVE",
            "address_2": "SUITE 5",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596027665",
            "telephone_number": "406-442-2032",
            "fax_number": "406-442-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA TELEPSYCH SOLUTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "BOESE",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-442-2032",
        "authorized_official_credential": "MSN, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NUR-RN-LIC-27589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346410701",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.