Robert Velin, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

268 Issued in MT

Practice address

1622 South Ave W
Missoula, MT 59801-7804

Phone

(406) 543-9700

Fax

(406) 549-8109

NPI assigned

May 16, 2006

Last updated

Jun 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Montana Neuropsychological Associates, PLLC

  • Clinical Psychologist
  • Missoula, MT
  • NPI 1417318023
  Medicare reassignment
• Montana Neurobehavioral Specialists

  • Neurology Physician
  • Missoula, MT
  • NPI 1013961671

  Clinical Neuropsychologist

  NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1285685800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 SOUTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017804",
            "telephone_number": "406-543-9700",
            "fax_number": "406-549-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 SOUTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017804",
            "telephone_number": "406-543-9700",
            "fax_number": "406-549-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELIN",
        "first_name": "ROBERT",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MT",
            "license": "268",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490535",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty Vannice, R.N.
• Hannah Nicole Vasquez, SWLC
• Ned F Vasquez, MD
• Vast Sky Counseling, LLC
• Michael Ann Vaughn, DNP
• Mary C Velk, PA-C
• Nancy Lee Ventresca, ED.S MA LCPC
• Venture Onesource, LLC
• Anthony Verhasselt, DPT
• Aspen Verhasselt, DPT

• 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 Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.