Gallatin Psychotherapy, Inc

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

License

318 Issued in MT

Legal business name

GALLATIN PSYCHOTHERAPY, INC

Practice address

1902 W Dickerson St Ste 208
Bozeman, MT 59718-6852

Phone

(406) 582-0500

NPI assigned

Oct 2, 2008

Last updated

Oct 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John D Wimberly, PHDNPI 1518080316

Title

Therapist

Phone

(406) 582-0500

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John David Wimberly, PH.D.

  • Clinical Psychologist
  • Bozeman, MT
  • NPI 1518080316
  Authorized official Same address or phone

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1770734220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 W DICKERSON ST STE 208",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186852",
            "telephone_number": "406-582-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 W DICKERSON ST STE 208",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186852",
            "telephone_number": "406-582-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLATIN PSYCHOTHERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "WIMBERLY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "406-582-0500",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MT",
            "license": "318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490688",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051821",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gallatin Counseling, PLLC
• Gallatin County (Gallatin Rest Home)
• Gallatin County (Gallatin City-County Health Department)
• Gallatin Health Supplies
• Gallatin Plastic Surgery, PLLC
• Gallatin Valley Anesthesia Associates
• Gallatin Valley Anesthesia Associates PC
• Gallatin Valley Chiropractic, LLC
• Gallatin Valley Denture Center
• Gallatin Valley Maxillofacial & Aesthetic Surgery

• Group Psychotherapy Psychologist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Group Psychotherapy Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.