Active NPI
David L. Thayer, Psy.D.,P.C.
- Clinical Psychologist
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- DAVID L. THAYER, PSY.D.,P.C.
- Practice address
- 821 W South St
Suite D
Kalamazoo, MI 49007-4684 - Phone
- (269) 501-3493
- Fax
- (269) 344-5973
- NPI assigned
- Nov 3, 2008
- Last updated
- Nov 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David L Thayer, PSY.D.,P.C.
- Title
- President
- Phone
- (269) 501-3493
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
821 W South St
Suite D
Kalamazoo, MI 49007-4684
Mailing address
821 W South St
Suite D
Kalamazoo, MI 49007-4684
Phone (269) 501-3493
National Provider Directory
National Provider DirectoryLocations
821 W South St
Ste D
Kalamazoo, MI 49007
Phone (269) 501-3493
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Kalamazoo, MI
- NPI 1508871344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225670400000",
"number": "1023261104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 W SOUTH ST",
"address_2": "SUITE D",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490074684",
"telephone_number": "269-501-3493",
"fax_number": "269-344-5973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 W SOUTH ST",
"address_2": "SUITE D",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490074684",
"telephone_number": "269-501-3493",
"fax_number": "269-344-5973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID L. THAYER, PSY.D.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-03",
"last_updated": "2008-11-03",
"status": "A",
"authorized_official_last_name": "THAYER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-501-3493",
"authorized_official_credential": "PSY.D.,P.C."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.