Individual provider Active NPI

Yvonne Martinez Thorne, ED.D.

  • Counseling Psychologist
  • East Norriton, PA
National Provider Identifier
1053498386
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PS016085 Issued in PA
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
498389501MedicaidMO

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

LicenseStateTypeSpecialty
PS016085PAMDGroup Psychotherapy Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.