Active NPI
Element Center for Neurodevelopment
- Clinical Neuropsychologist
- Stevensville, MT
National Provider Identifier
1871355271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- ELEMENT CENTER FOR NEURODEVELOPMENT
- Practice address
- 3972 US Highway 93 N Ste G
Stevensville, MT 59870-6469 - Phone
- (406) 200-9079
- NPI assigned
- Jan 30, 2024
- 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
- Dr. Bria Dunkin, PSY.D.
- Title
- Ceo
- Phone
- (406) 200-9079
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary | ||
| Clinical Psychologist | 103TC0700X |
Addresses
Primary practice location
3972 US Highway 93 N Ste G
Stevensville, MT 59870-6469
Mailing address
3972 US Highway 93 N Ste G
Stevensville, MT 59870-6469
Phone (406) 200-9079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2814 Brooks St
Missoula, MT 59801
3972 US Highway 93 N
Ste G
Stevensville, MT 59870
Phone (406) 200-9079
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Stevensville, MT
- NPI 1063797686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729555200000",
"number": "1871355271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3972 US HIGHWAY 93 N STE G",
"city": "STEVENSVILLE",
"state": "MT",
"postal_code": "598706469",
"telephone_number": "406-200-9079",
"fax_number": "406-641-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3972 US HIGHWAY 93 N STE G",
"city": "STEVENSVILLE",
"state": "MT",
"postal_code": "598706469",
"telephone_number": "406-200-9079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEMENT CENTER FOR NEURODEVELOPMENT",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-30",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A",
"authorized_official_last_name": "DUNKIN",
"authorized_official_first_name": "BRIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "406-200-9079",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 22, 2024; 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.