Healthcare Provider Details

I. General information

NPI: 1093503237
Provider Name (Legal Business Name): MONTANA INTEGRATIVE PSYCHIATRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2202 SOURDOUGH RD
BOZEMAN MT
59715-5800
US

IV. Provider business mailing address

2202 SOURDOUGH RD
BOZEMAN MT
59715-5800
US

V. Phone/Fax

Practice location:
  • Phone: 406-600-8710
  • Fax: 888-760-1434
Mailing address:
  • Phone: 406-600-8710
  • Fax: 888-760-1434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOY MELINDA BERGH
Title or Position: PRESIDENT
Credential: PMHNP
Phone: 406-600-8710