Individual provider Active NPI

Michele Catherine McKinnie, PSY.D.

  • Clinical Psychologist
  • Bozeman, MT
National Provider Identifier
1902969983
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
338 Issued in MT
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

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
52441OtherMTBCBS-MT PROVIDER NUMBER
0000492881MedicaidMT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Michele C. McKinnie, Psy.D., PC Clinical CurrentSince Mar 22, 2005 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

Verify at the official NPI Registry.