Nicholas Anthony PH D. P a

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-PSY-LIC-1484 Issued in MT

Legal business name

NICHOLAS ANTHONY PH D. P A

Practice address

118 Slough Creek Dr
Bozeman, MT 59718-2064

Phone

(406) 551-0533

NPI assigned

Jan 28, 2016

Last updated

Nov 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas AnthonyNPI 1629137880

Title

President

Phone

(406) 551-0533

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Charles Anthony

  • Clinical Psychologist
  • Bozeman, MT
  • NPI 1629137880
  Authorized official Same address or phone

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1457718934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SLOUGH CREEK DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SLOUGH CREEK DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182064",
            "telephone_number": "406-551-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS ANTHONY PH D. P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-551-0533",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "PSY-PSY-LIC-1484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Nov 17, 2025; 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.