Active NPI
Jennifer Robohm
- Clinical Psychologist
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 354
- Practice address
- 336 W Spruce St
Missoula, MT 59802-4108 - Phone
- (406) 370-7479
- NPI assigned
- Sep 13, 2006
- Last updated
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 354 | MT | Primary |
Addresses
Primary practice location
336 W Spruce St
Missoula, MT 59802-4108
Mailing address
91 Campus Dr
PMB #2511
Missoula, MT 59801-4492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
336 W Spruce St
Missoula, MT 59802-4108
Phone (406) 370-7479
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 354 | MT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partnership Health Center Inc | Current | Accepting new patients | |
| Partnership Health Center Inc | Current | Accepting new patients |
Locations
323 W Alder St
Missoula, MT 59802
Phone (406) 258-4195
401 Railroad St W
Missoula, MT 59802
Phone (406) 258-4183
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Missoula, MT
- NPI 1437196243
-
dba PHC-Hellgate Elem 2-3 (BLDG 1)
- Federally Qualified Health Center (FQHC)
- Missoula, MT
- NPI 1477439131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1073618252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 CAMPUS DR",
"address_2": "PMB #2511",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598014492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 W SPRUCE ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024108",
"telephone_number": "406-370-7479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBOHM",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MT",
"license": "354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
- Alexis Robinson, SWLC
- Elizabeth Wendell Robinson, PSYD
- Eryn Eva Robinson
- Melissa R. Robinson, M.D.
- Madison Robischon
- Christopher Rock, M.D.
- Rockpoint Chiropractic Services Inc. (Rockpoint Upper Cervical Center)
- Rocky Mountain Counseling Center LLC
- Rocky Mountain Ear Nose & Throat Center PC
- Rocky Mountain Eye Center PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.