Healthcare Provider Details

I. General information

NPI: 1194050393
Provider Name (Legal Business Name): MONTANA PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2009
Last Update Date: 04/19/2023
Certification Date: 04/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 STONERIDGE DR # A2
BOZEMAN MT
59718-7047
US

IV. Provider business mailing address

3737 GRAND AVE SUITE 6
BILLINGS MT
59102-6258
US

V. Phone/Fax

Practice location:
  • Phone: 406-551-8001
  • Fax:
Mailing address:
  • Phone: 406-839-2985
  • Fax: 406-839-2986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number11566
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number11566
License Number StateMT

VIII. Authorized Official

Name: DR. ERIN AMATO
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 406-839-2985