Organization Active NPI

Big Sky Psychological Consortium, PLLC

  • Psychologist
  • Bozeman, MT
National Provider Identifier
1205249463
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
338 Issued in MT
Legal business name
BIG SKY PSYCHOLOGICAL CONSORTIUM, PLLC
Practice address
1276 N 15TH Ave Ste 101
Bozeman, MT 59715-3289
Phone
(406) 582-1321
Fax
(406) 587-1513
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Michele Catherine McKinnie, PSY.D.
Title
Owner
Phone
(406) 582-1321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 338 MT Primary

Addresses

Primary practice location

1276 N 15TH Ave Ste 101
Bozeman, MT 59715-3289

Mailing address

1276 N 15TH Ave Ste 101
Bozeman, MT 59715-3289
Phone (406) 582-1321

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1205249463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 N 15TH AVE STE 101",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153289",
            "telephone_number": "406-582-1321",
            "fax_number": "406-587-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 N 15TH AVE STE 101",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153289",
            "telephone_number": "406-582-1321",
            "fax_number": "406-587-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SKY PSYCHOLOGICAL CONSORTIUM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "MCKINNIE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-582-1321",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MT",
            "license": "338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.