Active NPI
Jason Schwenker, PSY.D.
- Clinical Psychologist
- Whitefish, MT
National Provider Identifier
1831393057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-PSY-LIC-2980
- Practice address
- 14 2ND St W Ste 16
Whitefish, MT 59937-3035 - Phone
- (406) 818-5442
- Fax
- (406) 818-5212
- NPI assigned
- Jun 12, 2007
- Last updated
- Oct 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 161603 | KY | |
| Clinical Psychologist | 103TC0700X | PSY-PSY-LIC-2980 | MT | Primary |
Addresses
Primary practice location
14 2ND St W Ste 16
Whitefish, MT 59937-3035
Mailing address
PO Box 5344
Whitefish, MT 59937-5344
Phone (406) 818-5442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 15, 2023 through Nov 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161603 | KY | MD | Clinical Psychologist |
| PSY-PSY-LIC-2980 | MT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1831393057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5344",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599375344",
"telephone_number": "406-818-5442",
"fax_number": "406-818-5212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 2ND ST W STE 16",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599373035",
"telephone_number": "406-818-5442",
"fax_number": "406-818-5212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWENKER",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "161603",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MT",
"license": "PSY-PSY-LIC-2980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitefish, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.