Robert Sise, MD

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

MEDPHYSLIC67292 Issued in MT

Practice address

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

Phone

(406) 219-7233

NPI assigned

Jun 18, 2014

Last updated

May 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MT, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

University of California, San Francisco School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

406 Recovery IncGroup PAC ID 0042687717, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• 406 Recovery Inc

  dba 406 Recovery

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Bozeman, MT
  • NPI 1023745247
  Medicare reassignment Care Compare group NPD Authorized official
• Kitsap Mental Health Services

  • Community/Behavioral Health Agency
  • Bremerton, WA
  • NPI 1033268008
  Medicare reassignment NPD
• Rise Mental Health Corp

  • Addiction (Substance Use Disorder) Counselor
  • Bozeman, MT
  • NPI 1447971288
  Authorized official Same address or phone
• Community Medical Services Montana-Private, LLC

  dba Community Medical Services

  • Methadone Clinic
  • Missoula, MT
  • NPI 1023484615
  NPD
• Community Medical Services Arizona-Private, LLC

  dba Community Medical Services-Glendale

  • Methadone Clinic
  • Glendale, AZ
  • NPI 1053474148
  NPD
• Community Medical Services Arizona-Private, LLC

  dba Community Medical Services Phoenix on University

  • Methadone Clinic
  • Phoenix, AZ
  • NPI 1942892856
  NPD (past)

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1053725937",
    "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": {
        "last_name": "SISE",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "MED-PHYS-LIC-67292",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MT",
            "license": "MED-PHYS-LIC-67292",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MT",
            "license": "MEDPHYSLIC67292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simpafy Inc
• Joylene Beth Sims, MS
• Rachel Sindelar, RDN
• Jodie L. Sipes, LCSW
• Jill A Sippos, MPT
• Carol Kittrell Sisk, FNP
• Margaret Kathleen Siska, MD
• Annie M Sites, LMT
• Charyl Crandall Skates, LCPC
• Courtney Nicole Skeahan, LCSW

• Addiction Medicine (Psychiatry & Neurology) Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Montana

• 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; 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.