DR. SHANNON ST. ONGE SCALLY DNP NPI 1386262046

NPI Information

  • NPI: 1386262046
  • Provider Name: DR. SHANNON ST. ONGE SCALLY, DNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: SCALLY PSYCHIATRIC MENTAL HEALTH
    2431 RIVER ROAD
    MISSOULA, MT
    ZIP 59804
  • Phone: (406) 360-5093

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NPI Details

DR. Shannon St. Onge Scally, DNP is a psychiatric/mental health nurse practitioner in Missoula, MT. DR. Shannon St. Onge Scally, DNP NPI is 1386262046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

SCALLY PSYCHIATRIC MENTAL HEALTH
2431 RIVER ROAD
MISSOULA, MT
ZIP 59804-239
Phone: (406) 360-5093
Fax: (406) 720-7944

The NPI 1386262046 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2020 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health195702MONTANAYes
2390200000XStudent in an Organized Health Care Education/Training Program27210MONTANANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1$$$$$$$$$OTHERMONTANANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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