Active NPI
Funderburk Psychological Services
- Adult Mental Health Clinic/Center
- Kalispell, MT
National Provider Identifier
1194326462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- FUNDERBURK PSYCHOLOGICAL SERVICES
- Practice address
- 38 E Washington St
Kalispell, MT 59901-3975 - Phone
- (406) 799-1366
- NPI assigned
- Nov 4, 2020
- 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
- Dr. Brittni A Funderburk, PSYD
- Title
- Clinical Psychologist
- Phone
- (406) 799-1366
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
38 E Washington St
Kalispell, MT 59901-3975
Mailing address
15 Carnegie Dr Ste D
Kalispell, MT 59901-2579
Phone (406) 799-1366
National Provider Directory
National Provider DirectoryLocations
38 E Washington St
Kalispell, MT 59901
Phone (406) 799-1366
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Kalispell, MT
- NPI 1578125662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604448000000",
"number": "1194326462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CARNEGIE DR STE D",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599012579",
"telephone_number": "406-799-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 E WASHINGTON ST",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013975",
"telephone_number": "406-799-1366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUNDERBURK PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A",
"authorized_official_last_name": "FUNDERBURK",
"authorized_official_first_name": "BRITTNI",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "406-799-1366",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.