Nicholas Charles Anthony

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-PSY-LIC 1484 Issued in MT

Practice address

905 Highland Blvd
Ste. 4500
Bozeman, MT 59715-6901

Phone

(406) 551-0533

NPI assigned

Dec 6, 2006

Last updated

Dec 8, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Nicholas Anthony PH D. P a

  • Clinical Psychologist
  • Bozeman, MT
  • NPI 1457718934
  Authorized official Same address or phone

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1629137880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HIGHLAND BLVD",
            "address_2": "STE. 4500",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156901",
            "telephone_number": "406-551-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HIGHLAND BLVD",
            "address_2": "STE. 4500",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156901",
            "telephone_number": "406-551-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "NICHOLAS",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 3960",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "PSY-PSY-LIC 1484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Ankrom-Crittenden
• Annemarie Dubois, LCSW, L.L.C
• Elizabeth A Ansley, PA-C
• Answers Health Care Inc (Qualicare Big Sky)
• Haili Anthony, MT
• Amy M Appel, PT
• Christian E Appel, PT, , OCS, CERT MDT
• Sandy Appleby, FNP
• Apr Medical LLC
• Apricity Medical PLLC

• 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 Dec 8, 2015; 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.