Individual provider Active NPI

Carrie Christine Thomas, PHD

  • Psychologist
  • Hixson, TN
National Provider Identifier
1073532685
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32528 Issued in TX
Practice address
1273 Little Sorrel Rd
Hixson, TN 37343-5486
Phone
(210) 861-3940
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 32528 TX Primary

Addresses

Primary practice location

1273 Little Sorrel Rd
Hixson, TN 37343-5486

Mailing address

1273 Little Sorrel Rd
Hixson, TN 37343-5486
Phone (210) 861-3940

Other identifiers 2

IdentifierTypeStateIssuer
1738718-01MedicaidTX
648307OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050318000399 TX Practitioner - Clinical Psychologist 5294780607 Practice locations: San Antonio, TX
I20250701001119 TN Practitioner - Psychologist Billing Independently 5294780607 Practice locations: Hixson, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Missouri, Columbia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Hixson, TN 37343
Phone (210) 861-3940

1273 Little Sorrel Rd
Hixson, TN 37343-5486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1073532685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 LITTLE SORREL RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435486",
            "telephone_number": "210-861-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 LITTLE SORREL RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435486",
            "telephone_number": "210-861-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CARRIE",
        "middle_name": "CHRISTINE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1738718-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "648307",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

Verify at the official NPI Registry.