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WAHLBERG PSYCHOLOGY OFFICE PC NPI 1912359639


NPI Information

NPI: 1912359639
Provider Name: WAHLBERG PSYCHOLOGY OFFICE, PC

Other Name: JAMES WAHLBERG, PH.D.

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2831 FORT MISSOULA RD
SUITE 201
MISSOULA, MT
ZIP 59804
Phone: (406) 728-8818
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WAHLBERG PSYCHOLOGY OFFICE, PC is a community behavioral health in Missoula, MT. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. WAHLBERG PSYCHOLOGY OFFICE, PC NPI is 1912359639. The provider is registered as an organization entity type.
The provider Other Name Is James Wahlberg, Ph.d..

The provider's business location address is:

2831 FORT MISSOULA RD
SUITE 201
MISSOULA, MT
ZIP 59804-419
Phone: (406) 728-8818

The provider's authorized official is James Lee Wahlberg .
The authorized official title is Owner and has the following contact phone number (406) 728-8818.

The enumeration date for this NPI number is 7/6/2016 and was last updated on 7/6/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health109MONTANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1492596MEDICAIDMONTANA
2000005167MEDICARE UPIN
351670OTHERMONTANABLUE CROSS BLUE SHIELD

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

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