Active NPI
Thomas William Lund, PSY.D.
- Clinical Psychologist
- West Hurley, NY
National Provider Identifier
1245344068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7349
- Practice address
- 51 Fielstone Road
West Hurley, NY 12491-5607 - Phone
- (845) 338-5450
- Fax
- (845) 314-8516
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 7349 | NY | Primary |
Addresses
Primary practice location
51 Fielstone Road
West Hurley, NY 12491-5607
Mailing address
PO Box 3901
Kingston, NY 12402-3901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136516 | Other | NY | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 26, 2019 through Feb 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7349 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1245344068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3901",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124023901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 FIELSTONE ROAD",
"city": "WEST HURLEY",
"state": "NY",
"postal_code": "124915607",
"telephone_number": "845-338-5450",
"fax_number": "845-314-8516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUND",
"first_name": "THOMAS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2023-03-24",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "7349",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "136516",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Hurley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.