Active NPI
Janice Thomas, PH.D.
- Clinical Psychologist
- San Leandro, CA
National Provider Identifier
1114136819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY10496
- Practice address
- 2500 Fairmont Dr
San Leandro, CA 94578-1006 - Phone
- (510) 667-3009
- Fax
- (510) 667-3005
- NPI assigned
- May 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY10496 | CA | Primary |
Addresses
Primary practice location
2500 Fairmont Dr
San Leandro, CA 94578-1006
Mailing address
37 Mosswood Rd
Berkeley, CA 94704-1819
Phone (510) 549-1171
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10496 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114136819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 MOSSWOOD RD",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947041819",
"telephone_number": "510-549-1171",
"fax_number": "510-549-1471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 FAIRMONT DR",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945781006",
"telephone_number": "510-667-3009",
"fax_number": "510-667-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JANICE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY10496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.