Nicholas Charles Anthony
NPI 1629137880ActiveIndividual· Psychologist, Clinical· Bozeman, MT
Psychologist, Clinical in Bozeman, Montana, licensed in MT and FL, with an NPI issued in December 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1629137880 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Dec 6, 2006 |
| Last updated in NPPES | Dec 8, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY-PSY-LIC 1484 | MT |
| Psychologist, Clinical | 103TC0700X | PY 3960 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MT) |
|---|
Education and affiliations
| Graduation year | 1973 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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