Active NPI
Roy Cannon Thomas, PH.D.
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1124494919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY19283
- Practice address
- 1777 Union St
San Francisco, CA 94123-4426 - Phone
- (415) 771-9999
- Fax
- (415) 771-9990
- NPI assigned
- Aug 15, 2015
- Sex
- Male
- 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 | PSY19283 | CA | Primary |
Addresses
Primary practice location
1777 Union St
San Francisco, CA 94123-4426
Mailing address
1777 Union St
San Francisco, CA 94123-4426
Phone (415) 771-9999
Other names 1
- Cannon Thomas
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 |
|---|---|---|---|
| PSY19283 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439596800000",
"number": "1124494919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 UNION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941234426",
"telephone_number": "415-771-9999",
"fax_number": "415-771-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 UNION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941234426",
"telephone_number": "415-771-9999",
"fax_number": "415-771-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ROY",
"middle_name": "CANNON",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-15",
"last_updated": "2015-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY19283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANNON",
"last_name": "THOMAS",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.