Active NPI
Edward H Trontel, PHD
- Psychologist
- Kalispell, MT
National Provider Identifier
1720137714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 158
- Practice address
- 1250 Burns Way
#4
Kalispell, MT 59901 - Phone
- (406) 752-5784
- Fax
- (406) 752-0252
- NPI assigned
- Jan 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 158 | MT | Primary |
Addresses
Primary practice location
1250 Burns Way
#4
Kalispell, MT 59901
Mailing address
1250 Burns Way
#4
Kalispell, MT 59901
Phone (406) 752-5784
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0490025 | Medicaid | MT |
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 |
|---|---|---|---|
| 158 | MT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1720137714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 BURNS WAY",
"address_2": "#4",
"city": "KALISPELL",
"state": "MT",
"postal_code": "59901",
"telephone_number": "406-752-5784",
"fax_number": "406-752-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 BURNS WAY",
"address_2": "#4",
"city": "KALISPELL",
"state": "MT",
"postal_code": "59901",
"telephone_number": "406-752-5784",
"fax_number": "406-752-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRONTEL",
"first_name": "EDWARD",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MT",
"license": "158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0490025",
"state": "MT"
}
],
"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 Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.