NPIMap

Organization Active NPI

406 Recovery Inc

Doing business as 406 Recovery

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Bozeman, MT
National Provider Identifier
1023745247
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
406 RECOVERY INC
Doing business as
406 Recovery
Practice address
5 W Mendenhall St Ste 202
Bozeman, MT 59715-3566
Phone
(406) 219-7233
NPI assigned
Aug 7, 2022
Last updated
May 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Robert Sise, MDNPI 1053725937
Title
Ceo
Phone
(208) 810-2319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X Primary
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X

Addresses

Primary practice location

5 W Mendenhall St Ste 202
Bozeman, MT 59715-3566

Mailing address

96 N Weaver St Unit 440
Belgrade, MT 59714-7018
Phone (406) 219-7233

Other names 1

  • 406 RECOVERY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221109002096 MT Part B Supplier - Clinic/Group Practice 0042687717 Receives reassigned benefits from 13 practitioners
Practice locations: Billings, MT; Bozeman, MT; Missoula, MT

National Provider Directory

National Provider Directory

Locations

96 N Weaver St
Unit 440
Belgrade, MT 59714
Phone (406) 219-7233

100 N 27th St
Ste 200
Billings, MT 59101
Phone (406) 219-7233

2001 S Russell St
Missoula, MT 59801
Phone (406) 543-7860

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1023745247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 N WEAVER ST UNIT 440",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597147018",
            "telephone_number": "406-219-7233",
            "fax_number": "888-798-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W MENDENHALL ST STE 202",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153566",
            "telephone_number": "406-219-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "406 RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-07",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "SISE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-810-2319",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "406 RECOVERY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "406 RECOVERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.