Active NPI
Beverly Elaine Thorn, PH.D.
- Clinical Psychologist
- Tuscaloosa, AL
National Provider Identifier
1194004507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 481
- Practice address
- 505 Hackberry Lane Gordon Palmer HL RM 348
Dept. of Psychology, the University of Alabama
Tuscaloosa, AL 35487-0348 - Phone
- (205) 348-5024
- Fax
- (205) 348-8648
- NPI assigned
- Aug 16, 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 | 481 | AL | Primary |
Addresses
Primary practice location
505 Hackberry Lane Gordon Palmer HL RM 348
Dept. of Psychology, the University of Alabama
Tuscaloosa, AL 35487-0348
Mailing address
505 Hackberry Lane Gordon Palmer HL RM 348
Dept. of Psychology, the University of Alabama
Tuscaloosa, AL 35487-0348
Phone (205) 348-5024
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 |
|---|---|---|---|
| 481 | AL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1194004507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 HACKBERRY LANE GORDON PALMER HL RM 348",
"address_2": "DEPT. OF PSYCHOLOGY, THE UNIVERSITY OF ALABAMA",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354870348",
"telephone_number": "205-348-5024",
"fax_number": "205-348-8648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 HACKBERRY LANE GORDON PALMER HL RM 348",
"address_2": "DEPT. OF PSYCHOLOGY, THE UNIVERSITY OF ALABAMA",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354870348",
"telephone_number": "205-348-5024",
"fax_number": "205-348-8648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORN",
"first_name": "BEVERLY",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
- Lee Roy Thompson, OD
- Olivia Thompson
- Shequita Deche Thompson, LICSW
- Thoracic & Cardiovascular Associates of Tuscaloosa PC
- Nicolette B Thorkildsen, DPT
- Debora Thornburg, RPH
- Robert Thornton, M.D.
- Thriv 360 Five Precision Diagnostics, LLC
- Thriv 360 Five Precision Medicine, LLC
- Thumbs Up Educational Service Agency,Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.