Active NPI
Pete Lloyd Stivers, PHD
- Psychologist
- Great Falls, MT
National Provider Identifier
1669534814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 237
- Practice address
- 401 15TH Ave S
Suite 205
Great Falls, MT 59405-4334 - Phone
- (406) 453-5563
- Fax
- (406) 455-1248
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 237 | MT | Primary |
Addresses
Primary practice location
401 15TH Ave S
Suite 205
Great Falls, MT 59405-4334
Mailing address
401 15TH Ave S
Suite 205
Great Falls, MT 59405-4334
Phone (406) 453-5563
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237 | MT | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hansen Family Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Great Falls, MT
- NPI 1477903722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669534814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 15TH AVE S",
"address_2": "SUITE 205",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594054334",
"telephone_number": "406-453-5563",
"fax_number": "406-455-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 15TH AVE S",
"address_2": "SUITE 205",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594054334",
"telephone_number": "406-453-5563",
"fax_number": "406-455-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIVERS",
"first_name": "PETE",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MT",
"license": "237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.