Active NPI
Matthew Colon
- Psychologist
- Bozeman, MT
National Provider Identifier
1194379396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-PSY-LIC-2847
- Practice address
- 7 W Main St Ste 207
Bozeman, MT 59715-4695 - Phone
- (406) 350-7747
- NPI assigned
- Jul 26, 2019
- Last updated
- Jul 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY-PSY-LIC-2847 | MT | Primary |
Addresses
Primary practice location
7 W Main St Ste 207
Bozeman, MT 59715-4695
Mailing address
PO Box 6201
Bozeman, MT 59771-6201
Phone (406) 624-9633
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1194379396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6201",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597716201",
"telephone_number": "406-624-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 W MAIN ST STE 207",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597154695",
"telephone_number": "406-350-7747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-26",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MT",
"license": "PSY-PSY-LIC-2847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.