John C. Andre, PHD
Individual provider Active NPI Clinical Psychologist · Billings, MT
NPI 1114036126 · NPPES record last updated Dec 1, 2014
Key facts
- NPI
- 1114036126
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 214 (MT)
- Practice address
- 1020 N 27TH St
Billings, MT 59101-0760 - Phone
- (406) 238-2500
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214 | MT | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 214 | MT | Yes |
Addresses
Primary practice location
1020 N 27TH St
Billings, MT 59101-0760
Mailing address
PO Box 35100
Billings, MT 59107-5100
Phone (406) 238-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000051601 | Other | MT | BCBS PIN |
| 0492362 | Other | MT | MDCD PIN |
Other providers in Billings, MT
- Sydney Anderson
- Tammi Lynn Anderson
- Ty Anderson
- William Anderson
- Bijan Andrade
- Vicki L. Andre
- Jennifer Gail Andrus
- Anesthesia Partners of Montana PC
- Yee Chuan Ang
- Angel Nurse Consulting, LLC
All providers in Billings, 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 Dec 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.