OrganizationActive
Cmc Rehab Dept Neuropsych Evaluations
NPI 1720216005 · Psychologist · Missoula, MT
Provider details
- NPI number
- 1720216005
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Parent organization
- Community Medical Center
- Organization subpart
- Yes
- Authorized official
- Stephane Carlson, Ceo(406) 728-4100
- License
- 226 (MT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone: (406) 728-4100
Fax: (406) 327-4545
Street-level locationGet directions
Mailing address
2827 Fort Missoula Rd
Missoula, MT 59804-7408
Registry dates
- Enumerated
- 2009-06-25
- Last updated
- 2009-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.