Organization Active NPI

Sparrow Behavioral Health, LLC

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1447744099
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18809 Issued in MT
Legal business name
SPARROW BEHAVIORAL HEALTH, LLC
Practice address
800 Kensington Ave Ste 203
Missoula, MT 59801-5670
Phone
(315) 372-3723
NPI assigned
Jun 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Authorized official

Name
Meghan YeomansNPI 1679950034
Title
Owner
Phone
(315) 372-3723

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 18809 MT Primary

Addresses

Primary practice location

800 Kensington Ave Ste 203
Missoula, MT 59801-5670

Mailing address

800 Kensington Ave Ste 203
Missoula, MT 59801-5670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200417001000 MT Part B Supplier - Clinic/Group Practice 3870923733 Receives reassigned benefits from 1 practitioner
Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Locations

800 Kensington Ave
Ste 203
Missoula, MT 59801
Phone (315) 372-3723

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": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1447744099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KENSINGTON AVE STE 203",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KENSINGTON AVE STE 203",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015670",
            "telephone_number": "315-372-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "YEOMANS",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-372-3723"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "18809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.