Active NPI
Elizabeth Vinson Kohlstaedt, PH.D.
- Clinical Psychologist
- Helena, MT
National Provider Identifier
1619156700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSYCHOLOGIST 221
- Practice address
- 500 S Lamborn St
Helena, MT 59601-5417 - Phone
- (406) 457-4754
- Fax
- (406) 442-7949
- NPI assigned
- Oct 25, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSYCHOLOGIST 221 | MT | Primary |
Addresses
Primary practice location
500 S Lamborn St
Helena, MT 59601-5417
Mailing address
500 S Lamborn St
Helena, MT 59601-5417
Phone (406) 457-4754
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 |
|---|---|---|---|
| PSYCHOLOGIST 221 | MT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1619156700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S LAMBORN ST",
"city": "HELENA",
"state": "MT",
"postal_code": "596015417",
"telephone_number": "406-457-4754",
"fax_number": "406-442-7949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S LAMBORN ST",
"city": "HELENA",
"state": "MT",
"postal_code": "596015417",
"telephone_number": "406-457-4754",
"fax_number": "406-442-7949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLSTAEDT",
"first_name": "ELIZABETH",
"middle_name": "VINSON",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-25",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MT",
"license": "PSYCHOLOGIST 221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.