Organization Active NPI

Skordal Psychiatric Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Helena, MT
National Provider Identifier
1306106018
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN30828 Issued in MT
Legal business name
SKORDAL PSYCHIATRIC SERVICES, PLLC
Practice address
1125 Missoula Ave
Suite B
Helena, MT 59601-3830
Phone
(406) 202-2172
Fax
(406) 442-1190
NPI assigned
May 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Amy Jo Skordal, PMHNPNPI 1659633196
Title
Owner/Manager
Phone
(406) 202-2172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X APRN30828 MT Primary

Addresses

Primary practice location

1125 Missoula Ave
Suite B
Helena, MT 59601-3830

Mailing address

1125 Missoula Ave
Suite B
Helena, MT 59601-3830

National Provider Directory

National Provider Directory

Locations

1125 Missoula Ave
Ste B
Helena, MT 59601
Phone (406) 431-1336

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1306106018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 MISSOULA AVE",
            "address_2": "SUITE B",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 MISSOULA AVE",
            "address_2": "SUITE B",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013830",
            "telephone_number": "406-202-2172",
            "fax_number": "406-442-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKORDAL PSYCHIATRIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "SKORDAL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "406-202-2172",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "APRN30828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.