Individual provider Active NPI

Philip Thomas

  • Marriage & Family Therapist
  • Concord, CA
National Provider Identifier
1023544566
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF94227 Issued in CA
Practice address
1420 Willow Pass Rd Ste 200
Concord, CA 94520-5823
Phone
(925) 521-5124
NPI assigned
May 3, 2017
Last updated
Apr 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Marriage & Family Therapist 106H00000X IMF94227 CA Primary

Addresses

Primary practice location

1420 Willow Pass Rd Ste 200
Concord, CA 94520-5823

Mailing address

1420 Willow Pass Rd Ste 200
Concord, CA 94520-5823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207002254 CA Practitioner - Marriage and Family Therapist 2264875129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Contra Costa CountyGroup PAC ID 8628052974, 74 clinicians

Practice addresses (Care Compare)

1420 Willow Pass Rd
Concord, CA 94520-5823
Phone (925) 646-5480

2523 El Portal Dr
San Pablo, CA 94806-3305
Phone (510) 215-3730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF94227CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County CurrentSince Jan 1, 2024 Accepting new patients
Grow Healthcare Group PC Mental Health CurrentSince Feb 21, 2024 Accepting new patients
Contra Costa County Current Accepting new patients
Contra Costa County CurrentSince Jan 1, 2024 Accepting new patients
Contra Costa County PastSince Oct 2, 2022 Accepting new patients

Locations

1420 Willow Pass Rd
Ste 200
Concord, CA 94520
Phone (925) 521-5150

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1023544566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 WILLOW PASS RD STE 200",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 WILLOW PASS RD STE 200",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205823",
            "telephone_number": "925-521-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF94227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.