Thomas Paul Carrillo PH.D.,L.P.P.a.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP0339 Issued in MN

Legal business name

THOMAS PAUL CARRILLO PH.D.,L.P.P.A.

Practice address

400 S 4TH St
854
Minneapolis, MN 55415-1411

Phone

(612) 288-5000

Fax

(612) 288-5002

NPI assigned

Jun 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Paul Carrillo, PH.D.

Title

President

Phone

(612) 288-5000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip E Oxman, M.S., PSYCHOLOGIST

  • Psychologist
  • Minneapolis, MN
  • NPI 1558383463
  NPD (past)

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

{
    "created_epoch": "1214092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214092800000",
    "number": "1154582138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S 4TH ST",
            "address_2": "854",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151411",
            "telephone_number": "612-288-5000",
            "fax_number": "612-288-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 4TH ST",
            "address_2": "854",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151411",
            "telephone_number": "612-288-5000",
            "fax_number": "612-288-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS PAUL CARRILLO PH.D.,L.P.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-22",
        "last_updated": "2008-06-22",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-288-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Theresa Tholen, M.S., R.D.N., L.D.
• Richard H Tholen, MD
• Hailey Grace Thom
• Michael John Thomann
• Nickitas Bernard-Aristides Thomarios, DO
• Susan Thomas-McGregor, M.A., LMFT
• Amanda Thomas, LMFT
• Brenda Michelle Thomas, RN
• Claudia Thomas, MD
• David Thomas, MD

• Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2008; 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.