Organization Active NPI

Thor Tangvald M.D. Inc.

Doing business as Tangvald Frenkel and Associates Or Tangvald M.D. and Associates

  • Psychiatry Physician
  • Bellevue, KY
National Provider Identifier
1235280108
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
THOR TANGVALD M.D. INC.
Doing business as
Tangvald Frenkel and Associates Or Tangvald M.D. and Associates
Practice address
103 Landmark Dr
Suite 240
Bellevue, KY 41073-1393
Phone
(859) 292-3900
Fax
(859) 292-3903
NPI assigned
Jan 16, 2007
Last updated
Jun 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Mr. Thor Tangvald, M.D.
Title
Owner Ceo
Phone
(859) 292-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

103 Landmark Dr
Suite 240
Bellevue, KY 41073-1393

Mailing address

103 Landmark Dr
Suite 240
Bellevue, KY 41073-1393
Phone (859) 292-3900

Other names 1

  • TANGVALD FRENKEL AND ASSOCIATES OR TANGVALD M.D. AND ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Locations

103 Landmark Dr
Ste 240
Bellevue, KY 41073
Phone (859) 292-3900

Practitioners & affiliated clinicians

Practitioners 3

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1235280108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LANDMARK DR",
            "address_2": "SUITE 240",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "410731393",
            "telephone_number": "859-292-3900",
            "fax_number": "859-292-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LANDMARK DR",
            "address_2": "SUITE 240",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "410731393",
            "telephone_number": "859-292-3900",
            "fax_number": "859-292-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOR TANGVALD M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "TANGVALD",
        "authorized_official_first_name": "THOR",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "859-292-3900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TANGVALD FRENKEL AND ASSOCIATES OR TANGVALD M.D. AND ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.