Active NPI
Thomas Theodore Colyer, PH.D.
- Clinical Psychologist
- Kalispell, MT
National Provider Identifier
1821140716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 156
- Practice address
- 612 7TH Street East
Kalispell, MT 59901 - Phone
- (406) 755-7370
- Fax
- (406) 755-7277
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 156 | MT | MD | Professional Counselor |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 156 | MT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
612 7TH Street East
Kalispell, MT 59901
Mailing address
610 7TH St E
Kalispell, MT 59901-5047
Phone (406) 755-7370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 20, 2009.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248048000000",
"number": "1821140716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 7TH ST E",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599015047",
"telephone_number": "406-755-7370",
"fax_number": "406-755-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 7TH STREET EAST",
"city": "KALISPELL",
"state": "MT",
"postal_code": "59901",
"telephone_number": "406-755-7370",
"fax_number": "406-755-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLYER",
"first_name": "THOMAS",
"middle_name": "THEODORE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2009-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MT",
"license": "156",
"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 Jul 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.