Desiree Lacy Fox, PHD
Individual provider Active NPI Clinical Psychologist · Saint Ignatius, MT
NPI 1235733650 · NPPES record last updated Mar 15, 2024
Key facts
- NPI
- 1235733650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY-PSY-LIC-3821 (MT)
- Practice address
- 35401 Mission Dr
Saint Ignatius, MT 59865-7791 - Phone
- (406) 745-3525
- NPI assigned
- Nov 25, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Confederated Salish and Kootenai Tribes of the Flathead Reservation
Practice addresses (Care Compare)
35401 Mission Dr
Saint Ignatius, MT 59865-7791
Phone (406) 745-3525
PO Box
Suite 880
Saint Ignatius, MT 59865
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Partners in Home Care Inc |
Home health agency | Corporate Director | May 1, 2023 |
| Partners in Home Care Inc |
Hospice | Corporate Director | May 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240305004627 | MT | Practitioner - Clinical Psychologist | 0042677015 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-PSY-LIC-3821 | MT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Confederated Salish & Kootenai Tribes of the Flathead Reservation | Current |
Accepting new patients | |
| Confederated Salish and Kootenai Tribes of the Flathead Reservation | Current |
Accepting new patients | |
| Partners in Home Care, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY-PSY-LIC-3821 | MT | Yes |
Addresses
Primary practice location
35401 Mission Dr
Saint Ignatius, MT 59865-7791
Mailing address
PO Box 880
St Ignatius, MT 59865-0880
Phone (406) 745-3525
Other providers in Saint Ignatius, MT
- Annie Evans
- Abigail Eyre
- Richard R Felix
- Brenda Ferril
- Julie A Fleck
- Maria Gantert
- Timothy J. Gauthier
- Patty Gierke
- Logan Thomas Gordon
- Angela Grant
All providers in Saint Ignatius, MT · Clinical Psychologist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.