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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2023
- 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
- Sarina Sue Wilson, PMHNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Stevensville, MT
- NPI 1386072932
Single Specialty
-
- Occupational Therapist
- Stevensville, MT
- NPI 1588256283
-
- Professional Counselor
- Florence, MT
- NPI 1831829688
Single Specialty
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.