Peter M Thomas, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1172 Issued in WA

Practice address

4649 Sunnyside Ave N
Suite 300
Seattle, WA 98103-6900

Phone

(206) 634-2162

Fax

(206) 417-2841

NPI assigned

Aug 16, 2006

Last updated

May 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter Thomas PHD Personal Coporation

  dba Peter Thomas, PhD

  • Clinical Psychologist
  • Shoreline, WA
  • NPI 1649383613
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1376656363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19018 CORLISS AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334146",
            "telephone_number": "206-356-8724",
            "fax_number": "206-417-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4649 SUNNYSIDE AVE N",
            "address_2": "SUITE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036900",
            "telephone_number": "206-634-2162",
            "fax_number": "206-417-2841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19018 Corliss Ave N",
            "address_purpose": "LOCATION",
            "city": "Shoreline",
            "state": "WA",
            "postal_code": "981334146",
            "country_code": "US",
            "telephone_number": "206-356-8724",
            "fax_number": "206-417-2841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PETER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "1172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO OTHER IDENTIFIERS",
            "identifier": "13567",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmtho@protonmail.com",
            "affiliation": "N",
            "address_1": "4649 Sunnyside Ave N",
            "address_2": "Suite 300",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981036900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Olivia Jan Zukoff Thomas
• Olof Thomas
• Olu Thomas
• Paige Thomas
• Penelope Chung Thomas, M.D.
• Reilly Caitlin Thomas, PHARMD
• Richard Harley Thomas
• Richard Rowlands Thomas Jr., PSYD
• Robert Lucas Thomas III, MD
• Robin Barnes Thomas, PH.D,, ARNP

• Clinical Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.