Active NPI
Hallie Bornstein Banziger PHD LLC
- Clinical Psychologist
- Missoula, MT
National Provider Identifier
1801062096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 366
- Legal business name
- HALLIE BORNSTEIN BANZIGER PHD LLC
- Practice address
- 125 Bank St
Suite 310
Missoula, MT 59802-4407 - Phone
- (406) 549-7325
- NPI assigned
- May 7, 2008
- Last updated
- Oct 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hallie Alyssa Bornstein Banziger, PHD
- Title
- Owner
- Phone
- (406) 219-3311
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 366 | MT | Primary |
Addresses
Primary practice location
125 Bank St
Suite 310
Missoula, MT 59802-4407
Mailing address
935 Highland Blvd
Suite 4400
Bozeman, MT 59715-6904
Phone (406) 219-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52501 | Other | MT | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
935 Highland Blvd
Ste 4400
Bozeman, MT 59715
Phone (406) 587-5123
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Psychologist
- Missoula, MT
- NPI 1326197906
-
- Family Medicine Physician
- Bozeman, MT
- NPI 1194908202
-
- Family Medicine Physician
- Bozeman, MT
- NPI 1063443901
-
- Pediatrics Physician
- Bozeman, MT
- NPI 1548289648
-
- Pediatrics Physician
- Bozeman, MT
- NPI 1215952049
-
- Family Medicine Physician
- Bozeman, MT
- NPI 1568494052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224633600000",
"number": "1801062096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 HIGHLAND BLVD",
"address_2": "SUITE 4400",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156904",
"telephone_number": "406-219-3311"
},
{
"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": "HALLIE BORNSTEIN BANZIGER PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-07",
"last_updated": "2008-10-22",
"status": "A",
"authorized_official_last_name": "BORNSTEIN BANZIGER",
"authorized_official_first_name": "HALLIE",
"authorized_official_middle_name": "ALYSSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-219-3311",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MT",
"license": "366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "52501",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.