Larry D Thomas PHD Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

12195 Issued in TX

Legal business name

LARRY D THOMAS PHD INC

Practice address

2211 S Day St
Suite 405
Brenham, TX 77833-5583

Phone

(979) 830-7080

Fax

(979) 830-7124

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Larry D Thomas, PH.D.NPI 1508862780

Title

Owner/Psychologist

Phone

(979) 830-7080

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Larry Dwayne Thomas, PH.D.

  • Clinical Psychologist
  • Brenham, TX
  • NPI 1508862780
  Medicare reassignment NPD Authorized official
• Karen D Rasile, PH.D.

  • Psychologist
  • Brenham, TX
  • NPI 1972580637
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1194912105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 S DAY ST",
            "address_2": "SUITE 405",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778330901",
            "telephone_number": "979-830-7080",
            "fax_number": "979-830-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 S DAY ST",
            "address_2": "SUITE 405",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335583",
            "telephone_number": "979-830-7080",
            "fax_number": "979-830-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY D THOMAS PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "979-830-7080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "12195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802399-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kulow Chiropractic & Wellness Center PLLC
• Kellie Lynette Kulow, D.C.
• Laura Elizabeth Kwiatkowski, LPC
• Kenneth Landgraf, MD
• Paul F Laroche III, DDS
• Bret Coleman Laughter, NP-C
• Francisco Alonzo Leal Jr., MD
• Kaycie Leal, DPT
• Deanna Leblanc, PTA
• LFL Investment Group, LLC

• Psychologist in Brenham, TX
• Providers in Brenham, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.