Organization Active NPI

Funderburk Psychological Services

  • Adult Mental Health Clinic/Center
  • Kalispell, MT
National Provider Identifier
1194326462
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Nov 4, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.