Active NPI
Michael J Schaugaard, PH.D.
- Clinical Psychologist
- Poplar, MT
National Provider Identifier
1720317449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1060
- Practice address
- 107 H St East
Poplar, MT 59255-0067 - Phone
- (406) 768-3491
- Fax
- (406) 768-3014
- NPI assigned
- Dec 8, 2009
- Last updated
- Dec 8, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1060 | AL | Primary |
| Clinical Psychologist | 103TC0700X | 0927 | NM |
Addresses
Primary practice location
107 H St East
Poplar, MT 59255-0067
Mailing address
PO Box 67
Poplar, MT 59255-0067
Phone (406) 768-3491
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 |
|---|---|---|---|
| 1060 | AL | MD | Clinical Psychologist |
| 0927 | NM | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1720317449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67",
"city": "POPLAR",
"state": "MT",
"postal_code": "592550067",
"telephone_number": "406-768-3491",
"fax_number": "406-768-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 H ST EAST",
"city": "POPLAR",
"state": "MT",
"postal_code": "592550067",
"telephone_number": "406-768-3491",
"fax_number": "406-768-3014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAUGAARD",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-08",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "1060",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "0927",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poplar, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.