Active NPI
Philip Alvin House, PSY.D.
- Clinical Psychologist
- Billings, MT
National Provider Identifier
1477544039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 270
- Practice address
- 1629 Avenue D
BLDG B, Suite 2
Billings, MT 59102-3042 - Phone
- (406) 245-4446
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 270 | MT | Primary |
| School Psychologist | 103TS0200X | 45407 | MT |
Addresses
Primary practice location
1629 Avenue D
BLDG B, Suite 2
Billings, MT 59102-3042
Mailing address
PO Box 22098
Billings, MT 59104-2098
Phone (406) 245-4446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490321 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45407 | MT | MD | School Psychologist |
| 270 | MT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457395200000",
"number": "1477544039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22098",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591042098",
"telephone_number": "406-245-4446",
"fax_number": "406-294-0967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 AVENUE D",
"address_2": "BLDG B, SUITE 2",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591023042",
"telephone_number": "406-245-4446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSE",
"first_name": "PHILIP",
"middle_name": "ALVIN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2016-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MT",
"license": "270",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MT",
"license": "45407",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490321",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.