Thomas Colgan
Individual provider Active NPI School Psychologist · Tappan, NY
NPI 1104256007 · NPPES record last updated Nov 14, 2013
Key facts
- NPI
- 1104256007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 1211790 (NY)
- Practice address
- 140 Lester Drive
Tappan, NY 10983 - Phone
- (845) 680-1300
- NPI assigned
- Nov 14, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 1211790 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Childhood Program | Past | Accepting new patients | |
| South Orangetown Central School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1211790 | NY | Yes |
Addresses
Primary practice location
140 Lester Drive
Tappan, NY 10983
Mailing address
160 Van Wyck Rd.
Blauvelt, NY 10913
Phone (845) 680-1000
Other providers in Tappan, NY
- Susan Chen
- Children First Speech Language Pathology and Psychology PLLC
- Alastair Leopold Chillrud
- Ci Aronson DDS PC
- Laura Coffey
- Martin K Diner
- Manuel Domingo
- Dynamic at Home
- Dynamic OT at Home PC
- Early Childhood Program
All providers in Tappan, NY · School Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2013. 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.