Individual provider Active NPI

Rapheal (Monty) E Kuka, PH.D

  • Psychologist
  • Great Falls, MT
National Provider Identifier
1902962194
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
66 Issued in MT
Practice address
920 4TH Ave N
Great Falls, MT 59401-1514
Phone
(406) 452-9501
Fax
(406) 727-8172
NPI assigned
Dec 29, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 66 MT Primary

Addresses

Primary practice location

920 4TH Ave N
Great Falls, MT 59401-1514

Mailing address

920 4TH Ave N
Great Falls, MT 59401-1514
Phone (406) 452-9501

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
66MTMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902962194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 4TH AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594011514",
            "telephone_number": "406-452-9501",
            "fax_number": "406-727-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 4TH AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594011514",
            "telephone_number": "406-452-9501",
            "fax_number": "406-727-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKA",
        "first_name": "RAPHEAL (MONTY)",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MT",
            "license": "66",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.