MONTANA NEUROPSYCHOLOGICAL ASSOCIATES, PLLC
NPI 1417318023
Psychologist - Clinical in Missoula, MT

Q: What is Montana Neuropsychological Associates, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since March 09, 2016

1622 SOUTH AVE W, MISSOULA, MT 59801(406) 543-9700(406) 549-8109 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Montana Neuropsychological Associates, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTANA NEUROPSYCHOLOGICAL ASSOCIATES, PLLC (NPI 1417318023) is a healthcare organization registered as a clinical in Missoula, Montana and active in the NPI registry since March 2016. The organization lists Kim Block, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417318023

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMONTANA NEUROPSYCHOLOGICAL ASSOCIATES, PLLC

Location Address1622 SOUTH AVE WMissoula, MT 59801-7804

Mailing Address1622 South Ave WMissoula, MT 59801-7804 · (406) 543-9700 · Fax (406) 549-8109

Phone(406) 543-9700

Fax(406) 549-8109

Organization SubpartNo

Authorized OfficialKim BlockOffice Manager · (406) 543-9700

Enumeration DateMarch 9, 2016

Last NPPES UpdateOctober 17, 2024

NPPES CertifiedOctober 17, 2024

✔ NPI 1417318023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1622 SOUTH AVE W, Missoula, MT 59801

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Montana Neuropsychological Associates, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Montana Neuropsychological Associates, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Lisa Koehl, PHD

Clinical Psychologist

NPI 1285168260

1622 SOUTH AVE W
Missoula, MT 59801

(406) 543-9700

✔ PECOS✔ Accepts MedicareSame address

Kelly Pearce, PH.D.

Clinical Psychologist

NPI 1780809020

1622 SOUTH AVE W
Missoula, MT 59801

(406) 543-9700

✔ PECOS✔ Accepts MedicareSame address

Robert Velin, PHD

Clinical Psychologist

NPI 1285685800

1622 SOUTH AVE W
Missoula, MT 59801

(406) 543-9700

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montana Neuropsychological Associates, PLLC's NPI number?

The NPI number for Montana Neuropsychological Associates, PLLC is 1417318023. It was assigned to this organization in the NPPES registry on March 9, 2016.

Where is Montana Neuropsychological Associates, PLLC located?

Montana Neuropsychological Associates, PLLC is located at 1622 South Ave W, Missoula, MT 59801. The listed phone number is (406) 543-9700.

What is Montana Neuropsychological Associates, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Montana Neuropsychological Associates, PLLC enrolled in Medicare?

Yes. Montana Neuropsychological Associates, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Montana Neuropsychological Associates, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Montana Neuropsychological Associates, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Montana Neuropsychological Associates, PLLC accept?

Health plans from Blue Cross and Blue Shield of Montana list Montana Neuropsychological Associates, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Montana Neuropsychological Associates, PLLC was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.