Individual provider Active NPI

Thomas Albert Porter, PSY.S.

  • School Psychologist
  • Parma Heights, OH
National Provider Identifier
1376070441
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SP618 Issued in OH
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SP618OHMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Education Program Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.