Provider Demographics
NPI:1558371948
Name:DAY, JAMES LAWRENCE (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LAWRENCE
Last Name:DAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-8118
Mailing Address - Country:US
Mailing Address - Phone:406-727-3468
Mailing Address - Fax:
Practice Address - Street 1:915 1ST AVE S
Practice Address - Street 2:CENTER FOR MENTAL HEALTH
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-3705
Practice Address - Country:US
Practice Address - Phone:406-791-9550
Practice Address - Fax:406-761-2107
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT38922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000011620OtherBLUE CROSS/SHIELD OF MONT
MTAD6505498OtherDEA REGISTRATION #
MT0000011620OtherBLUE CROSS/SHIELD OF MONT
MTM000001162Medicare PIN
MT000001162Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER