NPIMap

Organization Active NPI

Facilitating Life Changes Inc

  • Clinical Psychologist
  • Missoula, MT
National Provider Identifier
1942287891
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
307 Issued in MT
Legal business name
FACILITATING LIFE CHANGES INC
Practice address
301 W Spruce St
Missoula, MT 59802
Phone
(406) 327-9697
NPI assigned
Dec 30, 2005
Last updated
Jan 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Dr. Diana L Bjorgen, PHDNPI 1972665768
Title
President Owner
Phone
(406) 327-9697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 307 MT Primary

Addresses

Primary practice location

301 W Spruce St
Missoula, MT 59802

Mailing address

PO Box 1328
FLC Inc Or Custom Medical Billing
Florence, MT 59833
Phone (406) 273-7600

Other names 1

  • Diana L Bjorgen PhD Former legal business name

National Provider Directory

National Provider Directory

Locations

101 E Broadway St
Ste 605
Missoula, MT 59802
Phone (406) 327-9697

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1942287891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "address_2": "FLC INC OR CUSTOM MEDICAL BILLING",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "59833",
            "telephone_number": "406-273-7600",
            "fax_number": "406-273-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W SPRUCE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59802",
            "telephone_number": "406-327-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACILITATING LIFE CHANGES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "BJORGEN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "406-327-9697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diana L Bjorgen PhD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.