NPIMap

Organization Active NPI

Creating Choices PC

  • Psychologist
  • Bozeman, MT
National Provider Identifier
1033440045
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
351 Issued in MT
Legal business name
CREATING CHOICES PC
Practice address
65B W Kagy Blvd
Bozeman, MT 59715-6052
Phone
(406) 585-7167
NPI assigned
Jan 15, 2010
Last updated
Jan 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Debra A Lang, PSY.D.NPI 1174739023
Title
Director/Psychologist
Phone
(406) 585-7167

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 351 MT Primary

Addresses

Primary practice location

65B W Kagy Blvd
Bozeman, MT 59715-6052

Mailing address

65B W Kagy Blvd
Bozeman, MT 59715-6052
Phone (406) 585-7167

National Provider Directory

National Provider Directory

Locations

65B W Kagy Blvd
Bozeman, MT 59715
Phone (406) 585-7167

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1033440045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65B W KAGY BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156052",
            "telephone_number": "406-585-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65B W KAGY BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156052",
            "telephone_number": "406-585-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING CHOICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR/PSYCHOLOGIST",
        "authorized_official_telephone_number": "406-585-7167",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MT",
            "license": "351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 15, 2010; 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.