Active NPI
Michele Catherine McKinnie, PSY.D.
- Clinical Psychologist
- Bozeman, MT
National Provider Identifier
1902969983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 338
- Practice address
- 1276 N 15TH Ave Ste 101
Bozeman, MT 59715-3289 - Phone
- (406) 582-1321
- Fax
- (406) 587-1513
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 338 | MT | Primary |
Addresses
Primary practice location
1276 N 15TH Ave Ste 101
Bozeman, MT 59715-3289
Mailing address
1276 N 15TH Ave Ste 101
Bozeman, MT 59715-3289
Phone (406) 582-1321
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52441 | Other | MT | BCBS-MT PROVIDER NUMBER |
| 0000492881 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040701001361 | MT | Practitioner - Clinical Psychologist | 9537146097 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1648 Ellis St
Suite 302
Bozeman, MT 59715-8811
Phone (406) 582-1321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michele C. McKinnie, Psy.D., PC | Clinical | Current | Accepting new patients |
Locations
1648 Ellis St
Ste 302
Bozeman, MT 59715
Phone (406) 582-1321
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1902969983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1276 N 15TH AVE STE 101",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153289",
"telephone_number": "406-582-1321",
"fax_number": "406-587-1513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 N 15TH AVE STE 101",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153289",
"telephone_number": "406-582-1321",
"fax_number": "406-587-1513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNIE",
"first_name": "MICHELE",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MT",
"license": "338",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-MT PROVIDER NUMBER",
"identifier": "52441",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000492881",
"state": "MT"
}
],
"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 Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.