Active NPI
Mark Howard Nicholson, MD
- Psychiatry Physician
- Billings, MT
National Provider Identifier
1235126566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 7623
- Practice address
- 1018 N 30TH St
Billings, MT 59101-0732 - Phone
- (406) 245-1559
- Fax
- (406) 564-1313
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 7623 | MT | Primary |
Addresses
Primary practice location
1018 N 30TH St
Billings, MT 59101-0732
Mailing address
PO Box 2315
Billings, MT 59103-2315
Phone (406) 245-1559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98195 | Other | MT | BLUE CROSS BLUE SHIELD |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7623 | MT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Montana Regional Mental Health Center | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Billings, MT
- NPI 1891781787
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1235126566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2315",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591032315",
"telephone_number": "406-245-1559",
"fax_number": "406-564-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 N 30TH ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010732",
"telephone_number": "406-245-1559",
"fax_number": "406-564-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "MARK",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MT",
"license": "7623",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "98195",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.