Active NPI
Tanya Sanita Thomas, M.D.
- Psychiatry Physician
- Providence, RI
National Provider Identifier
1104021070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD13358
- Practice address
- 845 N Main St Ste L1B
Providence, RI 02904-5775 - Phone
- (401) 863-3476
- Fax
- (401) 863-3607
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD13358 | RI | Primary |
| Psychiatry Physician | 2084P0800X | LP01246 | RI |
Addresses
Primary practice location
845 N Main St Ste L1B
Providence, RI 02904-5775
Mailing address
464 Pavilion Ave
Warwick, RI 02888-6021
Phone (401) 440-1012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neuropsychiatry
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
464 Pavilion Ave
Warwick, RI 02888-6021
845 N Main St
Providence, RI 02904-5700
PO Box
Suite 3085
Pawtucket, RI 02861
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP01246 | RI | MD | Psychiatry Physician |
| MD13358 | RI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koann Therapeutic Services Inc | Current | Accepting new patients | |
| Koann Therapeutic Services Inc | Current | Accepting new patients |
Locations
845 N Main St
Providence, RI 02904
Phone (401) 421-7300
845 N Main St
Ste L1B
Providence, RI 02904
Phone (401) 648-7172
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Providence, RI
- NPI 1639843303
-
- Psychiatric/Mental Health Nurse Practitioner
- Providence, RI
- NPI 1629861224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1104021070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 PAVILION AVE",
"city": "WARWICK",
"state": "RI",
"postal_code": "028886021",
"telephone_number": "401-440-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 N MAIN ST STE L1B",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029045775",
"telephone_number": "401-863-3476",
"fax_number": "401-863-3607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "TANYA",
"middle_name": "SANITA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "RI",
"license": "MD13358",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "RI",
"license": "LP01246",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.