Healthcare Provider Details

I. General information

NPI: 1528494507
Provider Name (Legal Business Name): MERRIT PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2013
Last Update Date: 09/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 CENTRAL AVE SUITE 301
GREAT FALLS MT
59401-3179
US

IV. Provider business mailing address

225 2ND ST S
GREAT FALLS MT
59405-1828
US

V. Phone/Fax

Practice location:
  • Phone: 406-868-2868
  • Fax:
Mailing address:
  • Phone: 406-868-2868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number10511
License Number StateMT

VIII. Authorized Official

Name: DR. PATRICIA ANN CALKIN
Title or Position: PSYCHIATRIST
Credential: M.D.
Phone: 406-868-2868