Thomas D Kraft PHD Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2511 Issued in OH

Legal business name

THOMAS D KRAFT PHD INC

Practice address

280 N Park Avenue
Suite 207
Warren, OH 44481-1109

Phone

(330) 392-9216

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Dillon Kraft, PHD

Title

President/Clinical Director

Phone

(330) 372-5883

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205934585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 MILLIKIN PLACE NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444834447",
            "telephone_number": "330-372-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N PARK AVENUE",
            "address_2": "SUITE 207",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811109",
            "telephone_number": "330-392-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS D KRAFT PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DILLON",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "330-372-5883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "2511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0329639",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "00692688000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Warren, OH
• Providers in Warren, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.