Active NPI
David S Tager, PH.D.
- Counseling Psychologist
- Columbia, MO
National Provider Identifier
1982041059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2010036612
- Practice address
- 1020 Hitt Street
4TH Floor
Columbia, MO 65201-9999 - Phone
- (573) 882-1483
- NPI assigned
- May 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2010036612 | MO | Primary |
Addresses
Primary practice location
1020 Hitt Street
4TH Floor
Columbia, MO 65201-9999
Mailing address
401 W Broadway
Columbia, MO 65203-3366
Phone (573) 864-2896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 30, 2023 through Oct 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010036612 | MO | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1982041059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W BROADWAY",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652033366",
"telephone_number": "573-864-2896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 HITT STREET",
"address_2": "4TH FLOOR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652019999",
"telephone_number": "573-882-1483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGER",
"first_name": "DAVID",
"middle_name": "S",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-30",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MO",
"license": "2010036612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.