Organization Active NPI

Painted Hills Psychiatry

  • Family Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1104667500
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Mary Cook, NPNPI 1861639619
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.