Organization Active NPI

Wilson Integrated Psychiatry LLC

Doing business as Sarina Wilson

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stevensville, MT
National Provider Identifier
1861279507
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WILSON INTEGRATED PSYCHIATRY LLC
Doing business as
Sarina Wilson
Practice address
504 Main St
Stevensville, MT 59870-2836
Phone
(406) 641-2345
Fax
(406) 720-7989
NPI assigned
Sep 14, 2023
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Sarina Sue Wilson, PMHNPNPI 1386072932
Title
Nurse Practitioner, Owner
Phone
(406) 641-2345

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

504 Main St
Stevensville, MT 59870-2836

Mailing address

504 Main St
Stevensville, MT 59870-2836
Phone (406) 641-2345

Other names 1

  • Sarina Wilson Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231106001831 MT Part B Supplier - Clinic/Group Practice 9032566575 Receives reassigned benefits from 1 practitioner
Practice locations: Missoula, MT; Stevensville, MT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1861279507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MAIN ST",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702836",
            "telephone_number": "406-641-2345",
            "fax_number": "406-720-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MAIN ST",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702836",
            "telephone_number": "406-641-2345",
            "fax_number": "406-720-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON INTEGRATED PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SARINA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, OWNER",
        "authorized_official_telephone_number": "406-641-2345",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarina Wilson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sarina Wilson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stevensville, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.

Verify at the official NPI Registry.