Philip H Bornstein Etal PTR

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PHILIP H BORNSTEIN ETAL PTR

Practice address

125 Bank St
Suite 310
Missoula, MT 59802-4407

Phone

(406) 549-7325

NPI assigned

Feb 15, 2011

Organization subpart

No

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

Authorized official

Name

Philip H Bornstein, PHDNPI 1154470714

Title

Owner

Phone

(406) 549-7325

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip H Bornstein, PHD

  • Psychologist
  • Missoula, MT
  • NPI 1154470714
  Medicare reassignment Care Compare group NPD Authorized official
• Marcy Tepper Bornstein, PHD

  • Psychologist
  • Missoula, MT
  • NPI 1538219068
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1750688461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BANK ST",
            "address_2": "SUITE 310",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024407",
            "telephone_number": "406-549-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BANK ST",
            "address_2": "SUITE 310",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024407",
            "telephone_number": "406-549-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP H BORNSTEIN ETAL PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "BORNSTEIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-549-7325",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Anthony Petrino, D.D.S.
• Marie Christine Pettit, LCPC
• Nicole Diane Pfeifer, FNP
• Melissa Phelan
• Danielle Philbin-Vulpis
• Jennifer McVey Phillips, PT
• Kevan Phillips
• Patricia K Phillips
• Zoa Phillips, M.S. CCC-SLP
• Deanna Phinney, MD

• Clinical Psychologist in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.