Active NPI
Dawn Thomas, MA, LPA
- Cognitive & Behavioral Psychologist
- Concord, NC
National Provider Identifier
1194982652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 2004
- Practice address
- 133 Church St NE
Concord, NC 28025-4732 - Phone
- (704) 792-0143
- Fax
- (704) 792-0143
- NPI assigned
- May 21, 2008
- 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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 2004 | NC | Primary |
Addresses
Primary practice location
133 Church St NE
Concord, NC 28025-4732
Mailing address
133 Church St NE
Concord, NC 28025-4732
Phone (704) 792-0143
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1194982652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 CHURCH ST NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280254732",
"telephone_number": "704-792-0143",
"fax_number": "704-792-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 CHURCH ST NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280254732",
"telephone_number": "704-792-0143",
"fax_number": "704-792-0143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DAWN",
"credential": "MA, LPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "2004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.