Active NPI
Gwenn S Purcell, PSY.D.
- Clinical Psychologist
- Bozeman, MT
National Provider Identifier
1760443683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810002637
- Practice address
- 2023 Stadium Dr
Suite 1C
Bozeman, MT 59715-0613 - Phone
- (406) 600-2918
- NPI assigned
- Mar 30, 2006
- Last updated
- Apr 27, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810002637 | VA | Primary |
Addresses
Primary practice location
2023 Stadium Dr
Suite 1C
Bozeman, MT 59715-0613
Mailing address
511 Park PL
Bozeman, MT 59715-7157
Phone (406) 600-2918
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810002637 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272326400000",
"number": "1760443683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 PARK PL",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597157157",
"telephone_number": "406-600-2918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2023 STADIUM DR",
"address_2": "SUITE 1C",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597150613",
"telephone_number": "406-600-2918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURCELL",
"first_name": "GWENN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2010-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810002637",
"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 Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.