Active NPI
Angela Jez, PSY.D.
- Psychologist
- Kalispell, MT
National Provider Identifier
1538297239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 393
- Practice address
- 723 5TH Ave E
Suite 110 C
Kalispell, MT 59901-5321 - Phone
- (406) 755-4427
- Fax
- (406) 755-4329
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- 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 | 393 | MT | Primary |
Addresses
Primary practice location
723 5TH Ave E
Suite 110 C
Kalispell, MT 59901-5321
Mailing address
PO Box 9451
Kalispell, MT 59904-2451
Phone (406) 871-6495
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 393 | MT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232409600000",
"number": "1538297239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9451",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599042451",
"telephone_number": "406-871-6495",
"fax_number": "406-755-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 5TH AVE E",
"address_2": "SUITE 110 C",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599015321",
"telephone_number": "406-755-4427",
"fax_number": "406-755-4329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEZ",
"first_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2009-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MT",
"license": "393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.