NPIMap

Organization Active NPI

Thomas Psychological

  • Clinical Psychologist
  • Lathrup Village, MI
National Provider Identifier
1306395207
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301012754 Issued in MI
Legal business name
THOMAS PSYCHOLOGICAL
Practice address
27375 Bloomfield Dr
Lathrup Village, MI 48076-3341
Phone
(248) 217-5769
NPI assigned
Oct 3, 2016
Last updated
Oct 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Dr. Quinn Thomas, PSY.DNPI 1184757742
Title
Owner
Phone
(248) 217-5769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI 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.

Verify at the official NPI Registry.