Alex Jordan Thomas

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6362010346 Issued in MI

Practice address

650 Livernois St Unit 1
Ferndale, MI 48220-2304

Phone

(248) 307-7496

NPI assigned

Jul 6, 2026

Last updated

Jul 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1114845435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21694 WOODCREST CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483354243",
            "telephone_number": "248-991-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 LIVERNOIS ST UNIT 1",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202304",
            "telephone_number": "248-307-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ALEX",
        "middle_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6362010346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Imperial Elite LLC
• The Nelson Center for Mindful Synergy
• The Nutrition Collective L.L.C.
• Therapeutic Lifestyle Changes, Inc (Healthy U)
• Therapy Management Enterprises Inc.
• Kelsie Marissa Thorne, M.S.
• Thumb Speech Therapy, PLLC
• Satrise Tillman
• Tlazocamati LLC
• Total Response EMS Inc

• Psychologist in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.