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General NPI Number Information
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NPI Number | 1548121528
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Entity Type | Organization
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Legal Business Name | BRAINBOX PSYCHIATRY, LLC
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 206 MAIN ST SW
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City | RONAN
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State | MT
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Zip | 59864-2705
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Country | US
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Telephone | 307-410-0794
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Fax | 307-357-3150
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Provider Business Mailing Address
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Address Line | PO BOX 115
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City | DEAVER
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State | WY
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Zip | 82421-0115
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Country | US
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Telephone | 307-410-0794
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TARI ANN MCADAM
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Credential | PMHNP-BC
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Telephone | 307-410-0794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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