Active NPI
Merry Thomas, PH.D.
- Clinical Psychologist
- Alameda, CA
National Provider Identifier
1275711129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 16304
- Practice address
- 2245 Santa Clara Ave Ste 200
Alameda, CA 94501-4443 - Phone
- (510) 749-9040
- Fax
- (510) 864-8040
- NPI assigned
- Feb 2, 2008
- Last updated
- Feb 2, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 16304 | CA | Primary |
Addresses
Primary practice location
2245 Santa Clara Ave Ste 200
Alameda, CA 94501-4443
Mailing address
2245 Santa Clara Ave Ste 200
Alameda, CA 94501-4443
Phone (510) 749-9040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130115000158 | CA | Practitioner - Psychologist Billing Independently | 8921251398 | Practice locations: Pacific Grove, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
170 17TH St
Suite F
Pacific Grove, CA 93950-7201
Phone (510) 207-6784
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16304 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201910400000",
"number": "1275711129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 SANTA CLARA AVE STE 200",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014443",
"telephone_number": "510-749-9040",
"fax_number": "510-864-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 SANTA CLARA AVE STE 200",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014443",
"telephone_number": "510-749-9040",
"fax_number": "510-864-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MERRY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-02",
"last_updated": "2008-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 16304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.