Active NPI
Thomas Albert Porter, PSY.S.
- School Psychologist
- Parma Heights, OH
National Provider Identifier
1376070441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SP618
- Practice address
- 6470 Pearl Rd
Parma Heights, OH 44130-2929 - Phone
- (440) 663-0037
- Fax
- (440) 663-0040
- NPI assigned
- May 18, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SP618 | OH | Primary |
Addresses
Primary practice location
6470 Pearl Rd
Parma Heights, OH 44130-2929
Mailing address
3100 Euclid Ave
Cleveland, OH 44115-2508
Phone (216) 361-4400
Other practice location 1
6470 Pearl Rd
Parma Heights, OH 44130-2929
Phone (440) 663-0037
Other practice location 2
6470 Pearl Rd
Parma Heights, OH 44130-2929
Phone (440) 663-0037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP618 | OH | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Education Program | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/pepcleve/r4/
Organizations & group practices 1
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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Cleveland, OH
- NPI 1528035631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1376070441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152508",
"telephone_number": "216-361-4400",
"fax_number": "216-361-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6470 PEARL RD",
"city": "PARMA HEIGHTS",
"state": "OH",
"postal_code": "441302929",
"telephone_number": "440-663-0037",
"fax_number": "440-663-0040"
}
],
"practiceLocations": [
{
"address_1": "6470 Pearl Rd",
"address_purpose": "LOCATION",
"city": "Parma Heights",
"state": "OH",
"postal_code": "441302929",
"country_code": "US",
"telephone_number": "440-663-0037",
"fax_number": "440-663-0040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6470 Pearl Rd",
"address_purpose": "LOCATION",
"city": "Parma Heights",
"state": "OH",
"postal_code": "441302929",
"country_code": "US",
"telephone_number": "440-663-0037",
"fax_number": "440-663-0040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTER",
"first_name": "THOMAS",
"middle_name": "ALBERT",
"credential": "PSY.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "SP618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parma Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.