Ana Despina Stan, MD, PH.D.
Individual provider Active NPI Psychiatry Physician · Livingston, MT
NPI 1154585776 · NPPES record last updated Jan 21, 2016
Key facts
- NPI
- 1154585776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- P5479 (TX)
- Practice address
- 320 Alpenglow LN
Livingston, MT 59047-8506 - Phone
- (406) 222-3541
- NPI assigned
- Jul 13, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Psychiatry Associates PC
Practice addresses (Care Compare)
2078 Stadium Dr
Suite 101
Bozeman, MT 59715-7204
Phone (406) 587-0810
Hospital & facility affiliations
- Bozeman Health Deaconess Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160122002288 | MT | Practitioner - Psychiatry | 0143466789 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P5479 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livingston Healthcare | Current |
Accepting new patients | |
| Livingston Healthcare | Current | Accepting new patients | |
| Livingston Healthcare Urgent Care | Current |
Accepting new patients | |
| Psychiatry Associates PC | Psychiatry | Current |
Accepting new patients |
Locations
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
2078 Stadium Dr
Ste 101
Bozeman, MT 59715
Phone (406) 587-0810
320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541
104 Centennial Dr
Ste 103
Livingston, MT 59047
Phone (406) 222-0030
104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | P5479 | TX | Yes |
Addresses
Primary practice location
320 Alpenglow LN
Livingston, MT 59047-8506
Mailing address
320 Alpenglow LN
Livingston, MT 59047-8506
Phone (406) 222-3541
Other providers in Livingston, MT
- Southwest Chemical Dependency Program
- Hannah Spafford
- Spectrum Behavioral Services PLLC
- Christopher Spromberg
- Sprout Speech
- Karen M Stenseth
- Seth D Stenseth
- Rae L Stevenson
- Tavin Stewart
- Elizabeth Muhs Stone
All providers in Livingston, MT · Psychiatry Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2016. 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.