Active NPI
Yvonne Martinez Thorne, ED.D.
- Counseling Psychologist
- East Norriton, PA
National Provider Identifier
1053498386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PS016085
- Practice address
- 34 E Germantown Pike # 183
East Norriton, PA 19401-1512 - Phone
- (610) 304-4782
- Fax
- (484) 231-8304
- NPI assigned
- Nov 1, 2006
- Last updated
- Feb 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS016085 | PA | |
| Clinical Psychologist | 103TC0700X | PS016085 | PA | |
| Counseling Psychologist | 103TC1900X | PS016085 | PA | Primary |
| Family Psychologist | 103TF0000X | PS016085 | PA | |
| Group Psychotherapy Psychologist | 103TP2701X | PS016085 | PA |
Addresses
Primary practice location
34 E Germantown Pike # 183
East Norriton, PA 19401-1512
Mailing address
8627 Germantown Ave
Philadelphia, PA 19118-2839
Phone (610) 304-4782
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 498389501 | Medicaid | MO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS016085 | PA | MD | Group Psychotherapy Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cultivating Wholeness Counseling Associates, PC | Counseling | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counseling Psychologist
- Philadelphia, PA
- NPI 1598038002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1053498386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8627 GERMANTOWN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191182839",
"telephone_number": "610-304-4782",
"fax_number": "484-231-8304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 E GERMANTOWN PIKE # 183",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194011512",
"telephone_number": "610-304-4782",
"fax_number": "484-231-8304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ THORNE",
"first_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS016085",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS016085",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PS016085",
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "PA",
"license": "PS016085",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "PA",
"license": "PS016085",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "498389501",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Norriton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.