NPIMap

Organization Active NPI

Robert Jay Thomas Jr PHD PC

  • Clinical Psychologist
  • Salt Lake City, UT
National Provider Identifier
1114229960
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ROBERT JAY THOMAS JR PHD PC
Practice address
675 E 2100 S Ste 250
Salt Lake City, UT 84106-5318
Phone
(801) 867-8550
Fax
(801) 484-3862
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Robert Jay Thomas Jr PHD PC, PHD PC
Title
Owner
Phone
(801) 867-8550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X UT Primary

Addresses

Primary practice location

675 E 2100 S Ste 250
Salt Lake City, UT 84106-5318

Mailing address

675 E 2100 S Ste 250
Salt Lake City, UT 84106-5318
Phone (801) 867-8550

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1114229960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 E 2100 S STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841065318",
            "telephone_number": "801-867-8550",
            "fax_number": "801-484-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E 2100 S STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841065318",
            "telephone_number": "801-867-8550",
            "fax_number": "801-484-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT JAY THOMAS JR PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "THOMAS JR PHD PC",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-867-8550",
        "authorized_official_credential": "PHD PC"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.