Active NPI
Thomas J Gambrel, PHD, NCSP, LICENSED
- School Psychologist
- Phoenix, AZ
National Provider Identifier
1043824329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 005240
- Practice address
- 2702 E Flower St
Phoenix, AZ 85016-7498 - Phone
- (602) 381-6000
- Fax
- (602) 381-6019
- NPI assigned
- Sep 3, 2020
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 005240 | AZ | Primary |
Addresses
Primary practice location
2702 E Flower St
Phoenix, AZ 85016-7498
Mailing address
821 E Desert Park LN
Phoenix, AZ 85020-4147
Phone (917) 886-2104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UNKNOWN | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tgambrel@creightonschools.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 005240 | AZ | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creighton School District | Past | Accepting new patients | |
| County of Maricopa Creighton Elementary School | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Phoenix, AZ
- NPI 1568508570
-
- Local Education Agency (LEA)
- Phoenix, AZ
- NPI 1114251022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1043824329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 E DESERT PARK LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204147",
"telephone_number": "917-886-2104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 E FLOWER ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167498",
"telephone_number": "602-381-6000",
"fax_number": "602-381-6019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBREL",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHD, NCSP, LICENSED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-03",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "005240",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "UNKNOWN",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tgambrel@creightonschools.org",
"affiliation": "N",
"endpointDescription": "Business Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email Text",
"address_1": "2702 E Flower St",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850167498",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.