NPIMap

Organization Active NPI

Kids Behavioral Health of Montana

  • Psychiatric Residential Treatment Facility
  • Butte, MT
National Provider Identifier
1386836286
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
11133 Issued in MT
Legal business name
KIDS BEHAVIORAL HEALTH OF MONTANA
Practice address
55 Basin Creek Rd
Butte, MT 59701-9704
Phone
(406) 494-4183
Fax
(406) 494-1724
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Catherine Willner
Title
Ceo
Phone
(406) 494-4183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 11133 MT Primary

Addresses

Primary practice location

55 Basin Creek Rd
Butte, MT 59701-9704

Mailing address

55 Basin Creek Rd
Butte, MT 59701-9704
Phone (406) 494-4183

Other identifiers 1

IdentifierTypeStateIssuer
4305743MedicaidMT

Other names 1

  • Acadia Montana - CNS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Acadia Montana8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1386836286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BASIN CREEK RD",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597019704",
            "telephone_number": "406-494-4183",
            "fax_number": "406-494-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BASIN CREEK RD",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597019704",
            "telephone_number": "406-494-4183",
            "fax_number": "406-494-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS BEHAVIORAL HEALTH OF MONTANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "WILLNER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-494-4183"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MT",
            "license": "11133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4305743",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acadia Montana - CNS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.