Kelly Lynn Pearce, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY-PSY-LIC-1734 Issued in MT

Practice address

1622 South Ave W
Missoula, MT 59801-7804

Phone

(406) 543-9700

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Montana Neuropsychological Associates PLLCGroup PAC ID 5890084883, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Montana Neuropsychological Associates, PLLC

  • Clinical Psychologist
  • Missoula, MT
  • NPI 1417318023
  Medicare reassignment Care Compare group NPD
• RCHP Billings - Missoula LLC

  • Specialist
  • Missoula, MT
  • NPI 1376946913
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1780809020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 SOUTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017804",
            "telephone_number": "406-543-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 SOUTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017804",
            "telephone_number": "406-543-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "PSY-PSY-LIC-1734",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MT",
            "license": "PSY-PSY-LIC-1734",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MT",
            "license": "PSY-PSY-LIC-1734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A Peabody
• Sharon Elizabeth Peach, MD
• Peak Eye Care Missoula, LLC
• Peak Performance Physical Therapy PC
• Peaks and Valleys Therapy, PLLC
• Kylie Pearson
• Tristan Pearson, L.E.
• Jordan Peck
• Elizabeth Pecora
• Pediatric Speech Therapy Solutions, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.