Phyllis Otera Thomas, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PRO58646-1 Issued in NY

Practice address

304 W 154TH St
New York, NY 10039-1511

Phone

(212) 690-0632

NPI assigned

May 23, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Addiction Research TX. Corp

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1194936260
  NPD (past) Authorized official
• Startcare, Inc.

  • Mental Health Counselor
  • New York, NY
  • NPI 1235674409
  NPD (past)
• Startcare, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1942250923
  NPD (past)

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1275893240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 263",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100390241",
            "telephone_number": "212-690-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W 154TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100391511",
            "telephone_number": "212-690-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PHYLLIS",
        "middle_name": "OTERA",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PRO58646-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oswald Rowen Thomas, PH.D., CH.T.
• Patrick Thomas
• Patrick W Thomas, M.D.
• Payton Colin Thomas, DDS
• Peaches Thomas
• Rehema Jamila Thomas, MD
• Remya Mariya Thomas, M.S., CCC-SLP, TSSLD
• Robert Charles Clayton Thomas Jr., MD
• Robert Miguel Thomas, MD
• Robin Denise Thomas

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.