Bellathia Psychiatry, LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Bozeman, MT
NPI 1821756404 · NPPES record last updated Apr 24, 2025
Key facts
- NPI
- 1821756404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- BELLATHIA PSYCHIATRY, LLC
- Practice address
- 355 Chase Way Apt B
Bozeman, MT 59718-5473 - Phone
- (406) 201-5937
- Fax
- (888) 829-4791
- NPI assigned
- Dec 1, 2021
- Organization subpart
- No
Authorized official
- Name
- Nicole Marie Faessel, APRN
- Title
- Ceo
- Phone
- (406) 201-5937
Practitioners 1
-
Nicole Marie Faessel, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220629003954 | MT | Part B Supplier - Clinic/Group Practice | 2163802661 |
Receives reassigned benefits from 1 practitioner Practice locations: Butte, MT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | |||
| Peer Specialist |
175T00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes | ||
| Perinatal Nurse Practitioner |
363LP1700X |
Addresses
Primary practice location
355 Chase Way Apt B
Bozeman, MT 59718-5473
Mailing address
355 Chase Way Apt B
Bozeman, MT 59718-5473
Phone (406) 201-5937
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CharmEHR | Health Information Exchange (HIE) |
Other providers in Bozeman, MT
- Richard NMN Belgrad
- Belgrade School District #44
- Brennah Bell
- Erin Bell
- Sean Bell
- Carolyn Belt
- Gabor Benda
- Brett Barry Bender
- Jaclyn Marie Bender
- Benefis Community Care, Inc.
All providers in Bozeman, MT · Psychiatric/Mental Health Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.