Southwest Montana Neuropsychology Services, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SOUTHWEST MONTANA NEUROPSYCHOLOGY SERVICES, PLLC

Practice address

800 W Platinum St Ste F
Butte, MT 59701-2200

Phone

(406) 782-4597

Fax

(406) 782-1347

NPI assigned

Jan 31, 2008

Last updated

Jan 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Audrey J Mattson, PH.D.NPI 1831158732

Title

Owner / Clinical Neuropsychologist

Phone

(406) 782-4597

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Audrey J Mattson, PH.D.

  • Psychologist
  • Butte, MT
  • NPI 1831158732
  Authorized official Same address or phone

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1033397146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "city": "WARM SPRINGS",
            "state": "MT",
            "postal_code": "597560223",
            "telephone_number": "406-693-2103",
            "fax_number": "406-782-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W PLATINUM ST STE F",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012200",
            "telephone_number": "406-782-4597",
            "fax_number": "406-782-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MONTANA NEUROPSYCHOLOGY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "MATTSON",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "406-782-4597",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Butte, MT
• Providers in Butte, MT by specialty
• Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.