Alyssa Thomas, CPSP
Individual provider Active NPI Peer Specialist · Delphi, IN
NPI 1063200384 · NPPES record last updated Apr 28, 2025
Key facts
- NPI
- 1063200384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- 4057 (IN)
- Practice address
- 901 Prince William Rd
Delphi, IN 46923-1758 - Phone
- (765) 742-1800
- Fax
- (765) 201-6262
- NPI assigned
- Apr 28, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4057 | IN | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 4057 | IN | Yes |
Addresses
Primary practice location
901 Prince William Rd
Delphi, IN 46923-1758
Mailing address
901 Prince William Rd
Delphi, IN 46923-1758
Phone (765) 742-1800
Other providers in Delphi, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.