Active NPI
Dale Saul Tompkins, PHD CACIII SAP
- Psychologist
- Grand Junction, CO
National Provider Identifier
1477658763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1245
- Practice address
- 1170 Colorado Ave
Grand Junction, CO 81501 - Phone
- (970) 241-2948
- Fax
- (970) 242-4219
- NPI assigned
- Sep 13, 2006
- Last updated
- Apr 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1245 | CO | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 5977 | CO |
Addresses
Primary practice location
1170 Colorado Ave
Grand Junction, CO 81501
Mailing address
1170 Colorado Ave
Grand Junction, CO 81501
Phone (970) 241-2948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680010720 | Other | CO | MEDICARE RAILROAD |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1245 | CO | MD | Physician Assistant |
| 5977 | CO | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365120000000",
"number": "1477658763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 COLORADO AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "81501",
"telephone_number": "970-241-2948",
"fax_number": "970-242-4219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 COLORADO AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "81501",
"telephone_number": "970-241-2948",
"fax_number": "970-242-4219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMPKINS",
"first_name": "DALE",
"middle_name": "SAUL",
"name_prefix": "Dr.",
"credential": "PHD CACIII SAP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2013-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "1245",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "5977",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "680010720",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
- TMS Solutions Inc
- Heather E. F. Tobin, DNP, MSRN
- Todays Vision Care Inc (todays vision care)
- Roger Mathew Togashi, R.N.
- Rebecca Sue Tolby, M.D.
- Wendy Kay Tompkins, MSW LCSW
- Samantha L Torres, LPC, NCC
- Total Renal Care Inc (Mesa County Dialysis)
- Total Renal Care Inc (Grand Junction Dialysis Center)
- Total Vision Eye Care Group LLC (Icon EyeCare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.