Organization
ALLY PSYCHIATRIC WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENTRY DE CASTRO DNP, FNP-C (NURSE PRACTITIONER)
(816) 800-1308
Entity
Organization
Contact information
Practice address
43 MILL TOWN LOOP STE C, BOZEMAN, MT 59718-6769
(406) 404-6711
Mailing address
3701 TRAKKER TRL, SUITE 1B #35, BOZEMAN, MT 59718
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164920088
—
MT
Enumeration date
03/14/2022
Last updated
10/19/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up