Ellen Jean Bluett, PHD
Individual provider Active NPI Clinical Psychologist · Missoula, MT
NPI 1013485853 · NPPES record last updated Nov 9, 2018
Key facts
- NPI
- 1013485853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2571 (MT)
- Practice address
- 401 Railroad St W
Missoula, MT 59802-4109 - Phone
- (406) 258-4789
- Fax
- (406) 258-4732
- NPI assigned
- Nov 9, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Partnership Health Center Inc
Practice addresses (Care Compare)
1110 W Broadway St
Missoula, MT 59802-3918
Phone (406) 728-1809
1150 Sherwood St
Missoula, MT 59802-2377
Phone 40625847894430
323 W Alder St
Missoula, MT 59802-4123
Phone (406) 258-4789
401 Railroad St W
Missoula, MT 59802-4178
Phone (406) 258-4789
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190402000840 | MT | Practitioner - Clinical Psychologist | 6800137787 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2571 | MT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partnership Health Center Inc | Current |
Accepting new patients | |
| Partnership Health Center Inc | Current |
Accepting new patients | |
| Partnership Health Center Inc | Current | Accepting new patients |
Locations
401 Railroad St W
Missoula, MT 59802
Phone (406) 258-4183
323 W Alder St
Missoula, MT 59802
Phone (406) 258-4195
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2571 | MT | Yes |
Addresses
Primary practice location
401 Railroad St W
Missoula, MT 59802-4109
Mailing address
401 Railroad St W
Missoula, MT 59802-4109
Phone (406) 258-4789
Other providers in Missoula, MT
- Nicole M Blubaugh
- Blue Cedar Counseling LLC
- Blue Mountain Clinic, Inc.
- Bluebird Medical, LLC
- Bluebird Psychotherapy, PLLC
- Nathan Dale Blumenbach
- Glenn Blumenson
- Anna Joy Boal
- Guy Bodfish
- Barry William Bodle
All providers in Missoula, MT · Clinical Psychologist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.