Glacier Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

355 Issued in MT

Legal business name

GLACIER PSYCHOLOGICAL SERVICES LLC

Practice address

723 5TH Ave E
Suite 126S
Kalispell, MT 59901-5321

Phone

(406) 253-7745

Fax

(406) 257-9721

NPI assigned

Jan 8, 2009

Last updated

Jan 21, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer Anne Simon-Thomas, PH.D.

Title

Clinical Psychologist

Phone

(406) 253-7745

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gretchen Brown, LCSW

  • Clinical Social Worker
  • Kalispell, MT
  • NPI 1992116180
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1841437142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 5TH AVE E",
            "address_2": "SUITE 126S",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015321",
            "telephone_number": "406-253-7745",
            "fax_number": "406-257-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 5TH AVE E",
            "address_2": "SUITE 126S",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015321",
            "telephone_number": "406-253-7745",
            "fax_number": "406-257-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "SIMON-THOMAS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "406-253-7745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Glacier Regional Pathology, LTD.
• Glacier Ridge Pharmacy Inc (Glacier Ridge Pharmacy)
• Glacier Surgical Center, LLC (Rocky Mountain Surgical Suites)
• Glacier Surgical Inc.
• Glacier Ultrasound Service LLC

• Clinical Psychologist in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Clinical Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.