Patricia C Moisan Thomas, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20040188A Issued in IN

Practice address

2020 Union St
Ste 101
Lafayette, IN 47904-3432

Phone

(765) 449-8286

Fax

(765) 449-0445

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1275502189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4699",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479034699",
            "telephone_number": "765-449-2732",
            "fax_number": "765-449-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 UNION ST",
            "address_2": "STE 101",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043432",
            "telephone_number": "765-449-8286",
            "fax_number": "765-449-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOISAN THOMAS",
        "first_name": "PATRICIA",
        "middle_name": "C",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040188A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040188A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100207030",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Renea Mogenros
• Ahmed Omar Mohamed, MD
• Doaa Mohammed
• Sanjay Mohindra, MD
• Omar Mohtadi, MD
• Andrey Yureivich Moiseyev III, M.A.
• Siany J Molina, RPA
• Elizabeth Moller, BCBA
• Maria C Molter, NP
• Jonathan M Mongold, D.O.

• Clinical Psychologist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.