Provider Demographics
NPI:1093503237
Name:MONTANA INTEGRATIVE PSYCHIATRY PC
Entity type:Organization
Organization Name:MONTANA INTEGRATIVE PSYCHIATRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:MELINDA
Authorized Official - Last Name:BERGH
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:406-600-8710
Mailing Address - Street 1:13078 KELLY CANYON RD
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-8276
Mailing Address - Country:US
Mailing Address - Phone:406-600-8710
Mailing Address - Fax:
Practice Address - Street 1:13078 KELLY CANYON RD
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-8276
Practice Address - Country:US
Practice Address - Phone:406-600-8710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health