SYLVAN INTEGRATIVE CARE LLC NPI 1417808965

NPI Information

  • NPI: 1417808965
  • Provider Name: SYLVAN INTEGRATIVE CARE, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 7 MICROWAVE HILL RD STE C
    CLANCY, MT
    ZIP 59634
  • Phone: (406) 422-0656

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NPI Details

SYLVAN INTEGRATIVE CARE, LLC is a psychiatric/mental health nurse practitioner in Clancy, MT. SYLVAN INTEGRATIVE CARE, LLC NPI is 1417808965. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7 MICROWAVE HILL RD STE C
CLANCY, MT
ZIP 59634-001
Phone: (406) 422-0656
Fax: (833) 471-4087

The provider's authorized official is Mark Donald Kishbaugh .
The authorized official title is Ceo and has the following contact phone number (406) 946-2983.

The enumeration date for this NPI number is 2/9/2026 and was last updated on 2/9/2026.

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
1363AM0700XPhysician AssistantMedicalNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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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