Healthcare Provider Details

I. General information

NPI: 1033045935
Provider Name (Legal Business Name): NORTH STAR NEUROPSYCHOLOGICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

328 N RODNEY ST
HELENA MT
59601-4054
US

IV. Provider business mailing address

328 N RODNEY ST
HELENA MT
59601-4054
US

V. Phone/Fax

Practice location:
  • Phone: 406-201-1717
  • Fax:
Mailing address:
  • Phone: 406-201-1717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: BAYLEE VAN WINKLE
Title or Position: OWNER
Credential:
Phone: 406-579-3077