Individual provider Active NPI

David Howard Kalis, LCSW. PHD

  • Clinical Social Worker
  • Louisville, CO
National Provider Identifier
1164638417
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
77 Issued in CO
Practice address
931 Main Street
Louisville, CO 80027
Phone
(303) 482-7041
Fax
(303) 665-2994
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 77 CO Primary
Clinical Psychologist 103TC0700X 0003755 CO

Addresses

Primary practice location

931 Main Street
Louisville, CO 80027

Mailing address

357 McCaslin Blvd
200
Louisville, CO 80027-2941
Phone (303) 482-7041

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0003755COMDClinical Psychologist
77COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. David Kalis Psychological & Consulting Services LLC Clinical Current Accepting new patients
Dr. David Kalis Psychological & Consulting Services LLC Clinical Current Accepting new patients

Locations

357 McCaslin Blvd
Ste 200
Louisville, CO 80027
Phone (303) 482-7041

Organizations & group practices 2

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1164638417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 MCCASLIN BLVD",
            "address_2": "200",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272941",
            "telephone_number": "303-482-7041",
            "fax_number": "303-416-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 MAIN STREET",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "80027",
            "telephone_number": "303-482-7041",
            "fax_number": "303-665-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIS",
        "first_name": "DAVID",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "LCSW. PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "77",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0003755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.