Thomas Michael Labreche, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

NC1084 Issued in NC

Practice address

182 West Court St
Rutherfordton, NC 28139

Phone

(828) 287-7806

Fax

(828) 287-0004

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thomas M Labreche PHD PLLC

  • Clinical Psychologist
  • Spindale, NC
  • NPI 1841738440
  Medicare reassignment NPD Authorized official
• Carolina Asthma and Allergy Center PA

  • Allergy & Immunology Physician
  • Charlotte, NC
  • NPI 1215995444
  NPD (past)
• Woodridge Psychological Assoc PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rutherfordton, NC
  • NPI 1013951268
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1245276393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "28139",
            "telephone_number": "828-287-7806",
            "fax_number": "828-287-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 WEST COURT ST",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "28139",
            "telephone_number": "828-287-7806",
            "fax_number": "828-287-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRECHE",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "NC1084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04119",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000495",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Wayne Kersey Jr., M.D.
• Carsyn Kilgo
• Eric Scott Kilmer, MS, LPCA
• Susan L King, M.A. CCC/SLP
• Sarah Ann Koenig, PTA
• Ann Morgan Lattimore, OTR
• Robert Scott Lawrence, M.D.
• Terry Lee Ledford, PH.D.
• Donald Tice Lesher, MD
• Hong Catherine Li, MD

• Clinical Neuropsychologist in Rutherfordton, NC
• Providers in Rutherfordton, NC by specialty
• Clinical Neuropsychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.