Thomas Clay Deck, M.A, C.A.C.-I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

120005 Issued in MI

Practice address

316 E Chicago St
Coldwater, MI 49036-2068

Phone

(517) 279-5337

Fax

(517) 279-5391

NPI assigned

May 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Community Health Center of Branch County

  dba Stars

  • Clinic/Center
  • Coldwater, MI
  • NPI 1962439844
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043425424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 ROLLING MEADOWS DR",
            "city": "QUINCY",
            "state": "MI",
            "postal_code": "490829548",
            "telephone_number": "517-639-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362068",
            "telephone_number": "517-279-5337",
            "fax_number": "517-279-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECK",
        "first_name": "THOMAS",
        "middle_name": "CLAY",
        "name_prefix": "Mr.",
        "credential": "M.A, C.A.C.-I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "120005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joudat Daoud, MD
• Alexa Davenport
• Neal Davidson, PHD
• Janet Marie Davis
• Clair Dean
• Matthew Laurence Decker, O.D.
• Betty Delong, N.P.
• Abraham John Demond, DC
• Amanda Lynn Denomme-Stough, DDS
• Nina Dickerson, LLPC

• Addiction (Substance Use Disorder) Counselor in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

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