Shannon St. Onge Scally, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

195702 Issued in MT

Practice address

Scally Psychiatric Mental Health
2431 River Road
Missoula, MT 59804-1239

Phone

(406) 360-5093

Fax

(406) 720-7944

NPI assigned

Jul 9, 2020

Last updated

Oct 23, 2023By the provider in NPPES

Sex

Female

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1386262046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 RIVER RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598041239",
            "telephone_number": "406-360-5093",
            "fax_number": "406-720-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SCALLY PSYCHIATRIC MENTAL HEALTH",
            "address_2": "2431 RIVER ROAD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598041239",
            "telephone_number": "406-360-5093",
            "fax_number": "406-720-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALLY",
        "first_name": "SHANNON",
        "middle_name": "ST. ONGE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "195702",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MT",
            "license": "27210",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "$$$$$$$$$",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Missoula",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Missoula",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Missoula",
            "address_1": "712 Missys Way",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598011487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Missoula",
            "affiliation": "N",
            "endpointDescription": "Bozeman",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Missoula",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bozeman",
            "address_1": "32 Campus Dr",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598121487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cara Elaine Saxon, MD
• Fred L. Sayre, DMD
• Jennifer E. Scalise, PA
• Michael A Scalise, PT
• Scally Health and Wellness PLLC
• Kelly P. Scariano, LCSW, LAC, MSW
• Kelly Renee Schaefer, SLP
• Melita Lynnette Schaefer, ABOM
• John D Schaeffer, D.O
• Raeleah Marie Schaeffer, MOT, OTR/L

• Psychiatric/Mental Health Nurse Practitioner in Missoula, MT
• Providers in Missoula, MT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.