Spark Neurobehavioral Solutions, PLLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

SPARK NEUROBEHAVIORAL SOLUTIONS, PLLC

Practice address

407 W Main St
Bozeman, MT 59715-4578

Phone

(406) 624-3632

NPI assigned

Apr 6, 2018

Last updated

Apr 6, 2018By 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

Lee Perry

Title

Managing Partner

Phone

(406) 624-3632

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1629575667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 S ROUSE AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W MAIN ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154578",
            "telephone_number": "406-624-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK NEUROBEHAVIORAL SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "406-624-3632"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Lewis Spain, DDS
• Steven L Spainhower, D.D.S.
• Megan Spalding, LCPC
• Spanish Peaks Mental Health, PLLC (Mountain Heart Counseling)
• Joan Marie Spannring, APRN
• Rex P. Spear, MD
• Alissa Spencer
• Roderick Ross Spencer, DDS
• Stephanie Claire Spencer, FNP-C
• Jeffrey Blake Sperry, O.D.

• Counseling Psychologist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Counseling Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.