Active NPI
Thomas J. Clucas, PHD, P.C.
- Psychologist
- Missoula, MT
National Provider Identifier
1801066345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 186
- Legal business name
- THOMAS J. CLUCAS, PHD, P.C.
- Practice address
- 125 Bank St Ste 310
Missoula, MT 59802-4413 - Phone
- (406) 549-7325
- NPI assigned
- Mar 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas J. Clucas, PHD
- Title
- Director
- Phone
- (406) 549-7325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 186 | MT | Primary |
Addresses
Primary practice location
125 Bank St Ste 310
Missoula, MT 59802-4413
Mailing address
125 Bank St Ste 310
Missoula, MT 59802-4413
Phone (406) 549-7325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083763643 | Medicaid | MT | |
| 51981 | Other | MT | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
125 Bank St
Ste 310
Missoula, MT 59802
Phone (406) 282-4402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207785600000",
"number": "1801066345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 BANK ST STE 310",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024413",
"telephone_number": "406-549-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 BANK ST STE 310",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024413",
"telephone_number": "406-549-7325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS J. CLUCAS, PHD, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-11",
"last_updated": "2008-04-10",
"status": "A",
"authorized_official_last_name": "CLUCAS",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "406-549-7325",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "MT",
"license": "186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083763643",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51981",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.