William D. Patenaude, PHD PC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

315 Issued in MT

Legal business name

WILLIAM D. PATENAUDE, PHD PC

Practice address

125 Bank St Ste 310
Missoula, MT 59802-4413

Phone

(406) 549-7325

NPI assigned

Mar 11, 2008

Organization subpart

No

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

Authorized official

Name

Mr. William D. Patenaude, PHDNPI 1407905086

Title

Director

Phone

(406) 549-7325

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William D Patenaude, PHD

  • Clinical Psychologist
  • Missoula, MT
  • NPI 1407905086
  NPD (past) Authorized official

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1245400787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BANK ST STE 310",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024413",
            "telephone_number": "406-549-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BANK ST STE 310",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024413",
            "telephone_number": "406-549-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM D. PATENAUDE, PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "PATENAUDE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "406-549-7325",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MT",
            "license": "315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407905086",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren E Wilgus
• Amora Wilkins, LCSW
• Jennifer Wilkinson, M.D.
• Mary Willard, SWLC
• Cynthia Lee Willenbrock, MA, LAC, PCLC
• Alicia Gene Williams
• Andrea Williams
• Carin Williams, CCC-SLP
• Erin E Williams, LCPC
• Erin Louise Williams

• Clinical Neuropsychologist in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Neuropsychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.