Active NPI
Thomas Psychological
- Clinical Psychologist
- Lathrup Village, MI
National Provider Identifier
1306395207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301012754
- Legal business name
- THOMAS PSYCHOLOGICAL
- Practice address
- 27375 Bloomfield Dr
Lathrup Village, MI 48076-3341 - Phone
- (248) 217-5769
- NPI assigned
- Oct 3, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Quinn Thomas, PSY.D
- Title
- Owner
- Phone
- (248) 217-5769
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301012754 | MI | Primary |
Addresses
Primary practice location
27375 Bloomfield Dr
Lathrup Village, MI 48076-3341
Mailing address
27375 Bloomfield Dr
Lathrup Village, MI 48076-3341
Phone (248) 217-5769
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475452800000",
"number": "1306395207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27375 BLOOMFIELD DR",
"city": "LATHRUP VILLAGE",
"state": "MI",
"postal_code": "480763341",
"telephone_number": "248-217-5769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27375 BLOOMFIELD DR",
"city": "LATHRUP VILLAGE",
"state": "MI",
"postal_code": "480763341",
"telephone_number": "248-217-5769"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS PSYCHOLOGICAL",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-03",
"last_updated": "2016-10-03",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "QUINN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-217-5769",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301012754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lathrup Village, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.