Active NPI
David C Segerstrom PC
Doing business as Montana Behavioral Health NW
- Clinical Social Worker
- Kalispell, MT
National Provider Identifier
1225043102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 220
- Legal business name
- DAVID C SEGERSTROM PC
- Doing business as
- Montana Behavioral Health NW
- Practice address
- 38 Village Loop Rd
Kalispell, MT 59901-2793 - Phone
- (406) 755-7566
- Fax
- (406) 755-7599
- NPI assigned
- Jul 29, 2006
- Last updated
- Jul 21, 2022
- 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
- Mr. David Charles Segerstrom, LCSW
- Title
- President
- Phone
- (406) 755-7566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 220 | MT | Primary |
Addresses
Primary practice location
38 Village Loop Rd
Kalispell, MT 59901-2793
Mailing address
38 Village Loop Rd
Kalispell, MT 59901-2793
Phone (406) 755-7566
Other names 1
- Montana Behavioral Health NW
National Provider Directory
National Provider DirectoryLocations
28 Village Loop Rd
Kalispell, MT 59901
Phone (406) 571-3909
38 Village Loop Rd
Kalispell, MT 59901
Phone (406) 755-7566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1225043102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 VILLAGE LOOP RD",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599012793",
"telephone_number": "406-755-7566",
"fax_number": "406-755-7599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 VILLAGE LOOP RD",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599012793",
"telephone_number": "406-755-7566",
"fax_number": "406-755-7599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID C SEGERSTROM PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SEGERSTROM",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "406-755-7566",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Montana Behavioral Health NW",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kalispell, MT
- Gregory Urs Danielson, PA-C
- Kendall Dann, MFT CANDIDATE
- Kristen Ellen Darling-Green, CCCA
- Laurie Daugharty, RPH
- Joshua James Daugherty
- David D. Semrau, DDS, PC
- David M Weber DDS MD PC (Kalispell Oral Surgery and Implants)
- David M Weber DDS MD PC (Kalispell Oral Surgery & Implants)
- Kelly David, LMT
- Heather Davidson, DNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.