Active NPI
Jay Richard Palmatier, PHD
- Psychologist
- Missoula, MT
National Provider Identifier
1194735423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 124
- Practice address
- 1315 Wyoming St
Missoula, MT 59801-1725 - Phone
- (406) 532-9700
- Fax
- (406) 541-3035
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 124 | MT | Primary |
Addresses
Primary practice location
1315 Wyoming St
Missoula, MT 59801-1725
Mailing address
T-9 Fort Missoula
Missoula, MT 59804-7202
Phone (406) 532-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124 | MT | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248048000000",
"number": "1194735423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "T-9 FORT MISSOULA",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047202",
"telephone_number": "406-532-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 WYOMING ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598011725",
"telephone_number": "406-532-9700",
"fax_number": "406-541-3035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMATIER",
"first_name": "JAY",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2009-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MT",
"license": "124",
"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 Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.