Organization Active NPI

David L. Thayer, Psy.D.,P.C.

  • Clinical Psychologist
  • Kalamazoo, MI
National Provider Identifier
1023261104
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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.NPI 1508871344
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.