Lily Anna Thom, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

022548 Issued in NY

Practice address

175 W 13TH St Apt 1B
New York, NY 10011-7803

Phone

(347) 834-3771

Fax

(347) 834-3771

NPI assigned

Jan 29, 2018

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)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1356849996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 DOUGLASS ST APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314774",
            "telephone_number": "347-834-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W 13TH ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117803",
            "telephone_number": "347-834-3771",
            "fax_number": "347-834-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOM",
        "first_name": "LILY",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• THL Acupuncture PC
• Lauren G Thoelen, FNP-BC
• Melissa Thoen, LCSW
• Crystal Tholany
• Kanesha Althea Thom
• Jaclyn Marie Thoma, MD
• Lauren Park Thoma, MD
• Nathan C Thoma, PH.D.
• Julia Teresa Thomae, NP
• Thomas a. Lallas, MD, PC

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.