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Conrad Burbank, PSYD

NPI 1023762622ActiveIndividual· Psychologist, Clinical· Bozeman, MT

Psychologist, Clinical (PSYD) in Bozeman, Montana, licensed in MT, with an NPI issued in February 2022.

Overview

NPI1023762622
StatusActive
Entity typeIndividual
CredentialPSYD
Sole proprietorYes
NPI issuedFeb 11, 2022
Last updated in NPPESFeb 11, 2022
Certified by providerFeb 11, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Clinical Primary103TC0700XPSY-PSY-LIC-3564MT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Psychologist, Clinical providers in Bozeman

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