Ally Psychiatric Wellness

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ALLY PSYCHIATRIC WELLNESS

Practice address

43 Mill Town Loop Ste C
Bozeman, MT 59718-6769

Phone

(406) 404-6711

NPI assigned

Mar 14, 2022

Last updated

Oct 19, 2022By 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. Jentry De Castro, DNP, FNP-CNPI 1164920088

Title

Nurse Practitioner

Phone

(816) 800-1308

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

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.

• Jentry Ann De Castro, DNP, FNP-C

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1164920088
  NPD Authorized official

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1609524172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 TRAKKER TRL",
            "address_2": "SUITE 1B #35",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 MILL TOWN LOOP STE C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186769",
            "telephone_number": "406-404-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLY PSYCHIATRIC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "DE CASTRO",
        "authorized_official_first_name": "JENTRY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "816-800-1308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164920088",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jentry@allybozeman.com",
            "affiliation": "N",
            "address_1": "43 Mill Town Loop Ste C",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597186769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Elizabeth Allen
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• Michelle Allmendinger, LPN
• Meira Aliza Alon
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• Alpine Orthopedics
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• Adult Mental Health Clinic/Center in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Adult Mental Health Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.