Active NPI
Leightnup Psychology Services PC
- Clinical Psychologist
- Bozeman, MT
National Provider Identifier
1891116117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 405
- Legal business name
- LEIGHTNUP PSYCHOLOGY SERVICES PC
- Practice address
- 937 Highland Blvd Ste 5320
Bozeman, MT 59715-6916 - Phone
- (406) 531-1801
- NPI assigned
- Jan 5, 2014
- Last updated
- Jan 11, 2022
- 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
- Jennifer H Leight, PHD
- Title
- President
- Phone
- (406) 531-1801
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 405 | MT | Primary |
Addresses
Primary practice location
937 Highland Blvd Ste 5320
Bozeman, MT 59715-6916
Mailing address
69 Sako CT
Bozeman, MT 59718-8438
Phone (406) 531-1801
Other practice location 1
206 Alaska Frontage Rd
Belgrade, MT 59714-7909
Phone (406) 531-1801
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 1
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.
-
- Psychologist
- Belgrade, MT
- NPI 1669529921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1891116117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 SAKO CT",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597188438",
"telephone_number": "406-531-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 HIGHLAND BLVD STE 5320",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156916",
"telephone_number": "406-531-1801"
}
],
"practiceLocations": [
{
"address_1": "206 Alaska Frontage Rd",
"address_purpose": "LOCATION",
"city": "Belgrade",
"state": "MT",
"postal_code": "597147909",
"country_code": "US",
"telephone_number": "406-531-1801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LEIGHTNUP PSYCHOLOGY SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-05",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A",
"authorized_official_last_name": "LEIGHT",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "406-531-1801",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MT",
"license": "405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.