Individual provider Active NPI

Laura Thode

  • Psychologist
  • Temecula, CA
National Provider Identifier
1083025639
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY34436 Issued in CA
Practice address
31720 Temecula Pkwy Ste 200
Temecula, CA 92592-5895
Phone
(833) 867-4642
NPI assigned
May 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Psychologist 103T00000X PSY34436 CA Primary

Addresses

Primary practice location

31720 Temecula Pkwy Ste 200
Temecula, CA 92592-5895

Mailing address

425 N Date St
Escondido, CA 92025-3413

Other practice location 1

425 N Date St
Escondido, CA 92025-3413
Phone (760) 520-8340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230922002770 CA Practitioner - Clinical Psychologist 0840644951 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY34436CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince Aug 14, 2023 Accepting new patients
Neighborhood Healthcare CurrentSince Aug 14, 2023 Accepting new patients

Locations

425 N Date St
#0
Escondido, CA 92025

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

31720 US Highway 79
Ste 200
Temecula, CA 92592
Phone (951) 302-1576

31537 Rancho Pueblo Rd
Ste 102
Temecula, CA 92592
Phone (951) 303-2277

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.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1083025639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31720 TEMECULA PKWY STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925895",
            "telephone_number": "833-867-4642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 N Date St",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920253413",
            "country_code": "US",
            "telephone_number": "760-520-8340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THODE",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY34436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.