Bozeman Psychiatry PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

8323 Issued in MT

Legal business name

BOZEMAN PSYCHIATRY PC

Practice address

1940 W Dickerson St
Suite 207
Bozeman, MT 59718-6851

Phone

(406) 586-9735

Fax

(406) 582-9158

NPI assigned

Sep 8, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Joan Marie Green, MD

Title

Owner

Phone

(406) 586-9735

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1750759791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 W DICKERSON ST",
            "address_2": "SUITE 207",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186851",
            "telephone_number": "406-586-9735",
            "fax_number": "406-582-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 W DICKERSON ST",
            "address_2": "SUITE 207",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186851",
            "telephone_number": "406-586-9735",
            "fax_number": "406-582-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZEMAN PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-586-9735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "8323",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MT",
            "license": "8323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bozeman Medical Imaging, LLC (Bozeman MRI)
• Bozeman Oral Surgery and Implant Center
• Bozeman Partners LLC -Dba- (Spring Creek Inn)
• Bozeman Podiatric Clinic Inc
• Bozeman Primary Care PLLC (Bozeman Primary Care)
• Bozeman Radiation Oncology PC
• Bozeman Rheumatology, P.C.
• Bozeman School District #7 (School District Related Services - Bozeman)
• Bozeman School District #7
• Bozeman Senior Center

• Psychiatry Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Psychiatry Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.