Diana L. Bjorgen, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

307 Issued in MT

Practice address

301 W Spruce St
Missoula, MT 59802-4107

Phone

(406) 327-9697

Fax

(406) 273-7601

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Jane C Wells MD MHS PLLC

  • Psychiatry Physician
  • Missoula, MT
  • NPI 1790755445
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1972665768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "598331328",
            "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": "598024107",
            "telephone_number": "406-327-9697",
            "fax_number": "406-273-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORGEN",
        "first_name": "DIANA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MT",
            "license": "307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490348",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "51411",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00099519",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bitterroot Psychological Services PLLC
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• Bonnie Sue Bixler, ACLC
• Kerri J Bizjak, RD
• Black Bear Naturopathic Clinic, PC
• Riley Davis Blackhurst, DDS
• Russell D Blackhurst, D.M.D.
• Blackwell Behavioral Health
• Jacob Blackwell

• Psychologist in Missoula, MT
• Providers in Missoula, MT by specialty
• Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.