Active NPI
Anice Thomas, PH.D.
- Clinical Psychologist
- Teaneck, NJ
National Provider Identifier
1114253192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4557
- Practice address
- 265 Cedar LN
Teaneck, NJ 07666-3444 - Phone
- (201) 647-3261
- NPI assigned
- Oct 26, 2009
- Last updated
- May 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 4557 | NJ | Primary |
Addresses
Primary practice location
265 Cedar LN
Teaneck, NJ 07666-3444
Mailing address
16 W Lawn Dr
Teaneck, NJ 07666-5612
Phone (201) 647-3261
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 |
|---|---|---|---|
| 4557 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1114253192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 W LAWN DR",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076665612",
"telephone_number": "201-647-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 CEDAR LN",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663444",
"telephone_number": "201-647-3261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ANICE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-26",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "4557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.