Individual provider Active NPI

Kelsey Stappert, PSYD

  • Psychologist
  • Bozeman, MT
National Provider Identifier
1639091754
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-PSY-LIC-6171 Issued in MT
Practice address
1276 N 15TH Ave Ste 101
Bozeman, MT 59715-3289
Phone
(406) 586-3301
NPI assigned
Jul 29, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY-PSY-LIC-6171 MT Primary

Addresses

Primary practice location

1276 N 15TH Ave Ste 101
Bozeman, MT 59715-3289

Mailing address

1276 N 15TH Ave Ste 101
Bozeman, MT 59715-3289
Phone (406) 586-3301

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1639091754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 N 15TH AVE STE 101",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153289",
            "telephone_number": "406-586-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 N 15TH AVE STE 101",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153289",
            "telephone_number": "406-586-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPPERT",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MT",
            "license": "PSY-PSY-LIC-6171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.