DR. SHANNON ST. ONGE SCALLY DNP NPI 1386262046

NPI Information

NPI: 1386262046
Provider Name: DR. SHANNON ST. ONGE SCALLY, DNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
SCALLY PSYCHIATRIC MENTAL HEALTH
2431 RIVER ROAD
MISSOULA, MT
ZIP 59804
Phone: (406) 360-5093
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DR. Shannon St. Onge Scally, DNP is a psychiatric/mental health nurse practitioner in Missoula, MT with 2 years of experience. 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 Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), 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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	195702	MONTANA	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program		27210	MONTANA	No

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	$$$$$$$$$	OTHER	MONTANA	NA

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: 4/28/2024

NPI Synchronization or Removal

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