William L. Suda, PH.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

89 Issued in MT

Legal business name

WILLIAM L. SUDA, PH.D., P.C.

Practice address

1201 Westwood Dr
Suite C
Hamilton, MT 59840-2305

Phone

(406) 363-2266

Fax

(406) 363-2266

NPI assigned

Aug 8, 2007

Last updated

Aug 8, 2007By 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. William Leroy Suda, PH.D.NPI 1376609941

Title

President

Phone

(406) 363-2266

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• William Leroy Suda, PH.D.

  • Psychologist
  • Hamilton, MT
  • NPI 1376609941
  NPD (past) Authorized official

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1881885382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WESTWOOD DR",
            "address_2": "SUITE C",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402305",
            "telephone_number": "406-363-2266",
            "fax_number": "406-363-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WESTWOOD DR",
            "address_2": "SUITE C",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402305",
            "telephone_number": "406-363-2266",
            "fax_number": "406-363-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L. SUDA, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "SUDA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-363-2266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "89",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH NETWORK",
            "identifier": "163709",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49-1244",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MONTANA",
            "identifier": "51550",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thaddeus J Widmer, L.C.S.W
• Michael A Wiencek, CRNA
• Wilderness Medics, Inc. (Corporate Medical Services)
• Robert M Wilkins, O.D.
• Lauren Wilkinson
• Alicia Michele Williams, PA-C
• Travis Williams, DPT
• Chanda Kaye Willse
• David John Wilson
• Maria Wines, PNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.