Ellen Jean Bluett, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2571 Issued in MT

Practice address

401 Railroad St W
Missoula, MT 59802-4109

Phone

(406) 258-4789

Fax

(406) 258-4732

NPI assigned

Nov 9, 2018

Last updated

Nov 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Partnership Health Center IncGroup PAC ID 6103843479, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Partnership Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Missoula, MT
  • NPI 1437196243
  Medicare reassignment Care Compare group NPD
• Partnership Health Center Inc

  dba PHC Lowell School

  • Federally Qualified Health Center (FQHC)
  • Missoula, MT
  • NPI 1437595725
  NPD
• Partnership Health Center Inc

  dba PHC-Hellgate Elem 2-3 (BLDG 1)

  • Federally Qualified Health Center (FQHC)
  • Missoula, MT
  • NPI 1477439131
  NPD

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1013485853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RAILROAD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024109",
            "telephone_number": "406-258-4789",
            "fax_number": "406-258-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RAILROAD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024109",
            "telephone_number": "406-258-4789",
            "fax_number": "406-258-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUETT",
        "first_name": "ELLEN",
        "middle_name": "JEAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "2571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole M Blubaugh, ATC, LAT
• Blue Cedar Counseling LLC
• Blue Mountain Clinic, Inc.
• Bluebird Medical, LLC
• Bluebird Psychotherapy, PLLC
• Nathan Dale Blumenbach
• Glenn Blumenson, LCSW
• Anna Joy Boal, DPT, OCS
• Guy Bodfish, DAOM, L.AC.
• Barry William Bodle, PHARMD

• Clinical Psychologist in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.