Linda M Frey, PH.D.
Individual provider Active NPI Clinical Psychologist · Missoula, MT
NPI 1073551818 · NPPES record last updated Feb 22, 2012
Key facts
- NPI
- 1073551818
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 381 (MT)
- Practice address
- 121 Hickory St
Ste 1
Missoula, MT 59801-1896 - Phone
- (406) 830-3116
- Fax
- (406) 830-3105
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
121 Hickory St
Suite 1
Missoula, MT 59801-1896
Phone (406) 830-3116
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 |
|---|---|---|---|---|
| I20110308000497 | MT | Practitioner - Clinical Psychologist | 2062694359 | Practice locations: Missoula, MT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 381 | MT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montana Neurobehavioral Specialists | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 381 | MT | Yes |
Addresses
Primary practice location
121 Hickory St
Ste 1
Missoula, MT 59801-1896
Mailing address
121 Hickory St
Ste 1
Missoula, MT 59801-1896
Phone (406) 830-3116
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52671 | Other | MT | BLUECROSS BLUESHIELD - MT |
Other providers in Missoula, MT
- Sarah Freeman
- Felice Freiwald
- Rose French
- Fresenius Medical Care of Montana, LLC
- Nicholas John Freudenberg
- Lilleeanna Marie Freyholtz I
- Danielle Lee Friedland
- Amy Friedman
- Friends of the Children - Montana
- Friends to Youth Inc.
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 Feb 22, 2012. 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.