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NPI Code Detail

MEDICARE: DR. MICHELE CATHERINE MCKINNIE PSY.D.

MEDICARE: DR. MICHELE CATHERINE MCKINNIE PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist338MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
152441OTHERMTBCBS-MT PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902969983
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELE CATHERINE MCKINNIE PSY.D.
Provider Business Mailing Address
First Line : 1276 N 15TH AVE STE 101
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-3289
Country : US
Telephone Number : 406-582-1321
Fax Number : 406-587-1513
Provider Business Practice Location Address
First Line : 1276 N 15TH AVE STE 101
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-3289
Country : US
Telephone Number : 406-582-1321
Fax Number : 406-587-1513
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 06/16/2026

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