Jacqueline H Stanley, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2584 Issued in MT

Practice address

1043 Stoneridge Dr Ste 2
Bozeman, MT 59718-7084

Phone

(406) 599-2492

NPI assigned

Feb 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ncenter LLCGroup PAC ID 0547569204, 7 clinicians

Practice addresses (Care Compare)

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.

• Ncenter, LLC

  • Mental Health Counselor
  • Bozeman, MT
  • NPI 1124435730
  Medicare reassignment Care Compare group NPD
• Sub Rosa Therapy

  • Adult Mental Health Clinic/Center
  • Bozeman, MT
  • NPI 1083382329
  Medicare reassignment NPD
• Wake Mental Health LLC

  • Clinical Social Worker
  • Kalispell, MT
  • NPI 1700473253
  NPD (past)

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1407997471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 STONERIDGE DR STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187084",
            "telephone_number": "406-599-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 STONERIDGE DR STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187084",
            "telephone_number": "406-599-2492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Discovery Dr",
            "address_2": "Suite 117",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597186995",
            "country_code": "US",
            "telephone_number": "406-209-1412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "JACQUELINE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "2584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evynn Elizabeth Stagg
• Allyssa Staker, MS, SWLC
• Shannon Staley
• Lisa B Stalker, RNFA
• Sylwia B. Stamm-Nawrocka, LCPC
• Jennie Lynn Stanley, MS, NCC, LCPC
• Kelli Stanley, BA, CD, CLC
• Dennis Staples, R. PH.
• Kelsey Stappert, PSYD
• Glen Howard Stark

• Clinical Psychologist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Clinical Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.