Active NPI
Painted Hills Psychiatry
- Family Nurse Practitioner
- Bozeman, MT
National Provider Identifier
1104667500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PAINTED HILLS PSYCHIATRY
- Practice address
- 1807 W Dickerson St Ste D
Bozeman, MT 59715-1311 - Phone
- (406) 404-7384
- Fax
- (406) 284-0619
- NPI assigned
- Jun 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Cook, NP
- Title
- Owner
- Phone
- (406) 539-5500
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
1807 W Dickerson St Ste D
Bozeman, MT 59715-1311
Mailing address
3701 Trakker TRL Ste 1B
Bozeman, MT 59718-9202
Phone (406) 404-7384
National Provider Directory
National Provider DirectoryLocations
1807 W Dickerson St
Ste D
Bozeman, MT 59715
Phone (406) 404-7384
3701 Trakker Trl
Ste 1B
Bozeman, MT 59718
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Bozeman, MT
- NPI 1861639619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757635200000",
"number": "1104667500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 TRAKKER TRL STE 1B",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597189202",
"telephone_number": "406-404-7384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 W DICKERSON ST STE D",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597151311",
"telephone_number": "406-404-7384",
"fax_number": "406-284-0619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAINTED HILLS PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-03",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-539-5500",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.