Active NPI
Scally Health and Wellness PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Missoula, MT
National Provider Identifier
1184452138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SCALLY HEALTH AND WELLNESS PLLC
- Practice address
- 2431 River Rd
Missoula, MT 59804-1239 - Phone
- (406) 361-5093
- Fax
- (406) 720-7944
- NPI assigned
- Jul 22, 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
- Shannon S Scally, DNP
- Title
- Owner/Provider
- Phone
- (406) 361-5093
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2431 River Rd
Missoula, MT 59804-1239
Mailing address
2431 River Rd
Missoula, MT 59804-1239
Phone (406) 361-5093
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D2321326 | Scally Health & Wellness | Certificate of waiver | Apr 1, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725494400000",
"number": "1184452138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2431 RIVER RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598041239",
"telephone_number": "406-361-5093",
"fax_number": "406-720-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2431 RIVER RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598041239",
"telephone_number": "406-361-5093",
"fax_number": "406-720-7944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCALLY HEALTH AND WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-22",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "SCALLY",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "406-361-5093",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.