Active NPI
Sherri Thomas, PHD
- School Psychologist
- Center Moriches, NY
National Provider Identifier
1104473834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 022784-1
- Practice address
- 511 Main St
Center Moriches, NY 11934-2206 - Phone
- (631) 878-9780
- Fax
- (631) 878-9780
- NPI assigned
- Aug 19, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 022784-1 | NY | Primary |
Addresses
Primary practice location
511 Main St
Center Moriches, NY 11934-2206
Mailing address
19 Pawnee Dr
Commack, NY 11725-4210
Phone (631) 813-9313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022784-1 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1104473834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 PAWNEE DR",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254210",
"telephone_number": "631-813-9313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 MAIN ST",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "119342206",
"telephone_number": "631-878-9780",
"fax_number": "631-878-9780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SHERRI",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-19",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "022784-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Center Moriches, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.