NPIMap

Individual provider Active NPI

Michael David Thein, M.D.

  • Psychiatry Physician
  • Missoula, MT
National Provider Identifier
1184744088
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
61135 Issued in MT
Practice address
1048 Burlington Ave Ste 103
Missoula, MT 59801-5684
Phone
(406) 830-3294
Fax
(408) 258-0367
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 61135 MT Primary

Addresses

Primary practice location

1048 Burlington Ave Ste 103
Missoula, MT 59801-5684

Mailing address

1620 Regent St Ste a
Missoula, MT 59801-5665
Phone (406) 830-3294

Other names 1

  • Dr. Michael David Thein Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181008001761 MT Practitioner - Psychiatry 4981720380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Southern California Keck School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
3 Rivers Mental Health Solutions LLCGroup PAC ID 4587889225, 5 clinicians

Practice addresses (Care Compare)

2301 Gaylord St
Butte, MT 59701-5860
Phone (406) 830-3294

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61135MTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
3 Rivers Mental Health Solutions LLC Psychiatry CurrentSince Jul 24, 2018 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Klamath Behavorial Health and Wellness Past Accepting new patients

Locations

715 Kensington Ave
Ste 24B
Missoula, MT 59801
Phone (406) 830-3294

1620 Regent St
Ste A
Missoula, MT 59801
Phone (406) 830-3294

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1184744088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 REGENT ST STE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015665",
            "telephone_number": "406-830-3294",
            "fax_number": "406-258-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 BURLINGTON AVE STE 103",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015684",
            "telephone_number": "406-830-3294",
            "fax_number": "408-258-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEIN",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "61135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "THEIN",
            "middle_name": "DAVID",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.