Individual provider Active NPI

Susan K. Day, CP

  • Psychologist
  • Missoula, MT
National Provider Identifier
1003832932
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
347 Issued in MT
Practice address
119 W Front St
Ste 309
Missoula, MT 59802-4011
Phone
(406) 327-9992
Fax
(406) 327-9987
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 347 MT Primary

Addresses

Primary practice location

119 W Front St
Ste 309
Missoula, MT 59802-4011

Mailing address

119 W Front St
Ste 309
Missoula, MT 59802-4011
Phone (406) 327-9992

Other identifiers 2

IdentifierTypeStateIssuer
P00126297OtherMTRAILROAD MEDICARE
0492065MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
347MTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Theresa M Reed PHD PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1003832932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W FRONT ST",
            "address_2": "STE 309",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024011",
            "telephone_number": "406-327-9992",
            "fax_number": "406-327-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W FRONT ST",
            "address_2": "STE 309",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024011",
            "telephone_number": "406-327-9992",
            "fax_number": "406-327-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "SUSAN",
        "middle_name": "K.",
        "credential": "CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MT",
            "license": "347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00126297",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0492065",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.