Individual provider Active NPI

Zinia Sue Thomas, M.D.

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1376687301
Registry record updated Jun 7, 2023
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Jan 20, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME147052 Issued in FL
Practice address
210 S Bumby Ave Ste C
Orlando, FL 32803-7411
Phone
(407) 743-0337
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 2009001634 MO
Psychiatry Physician 2084P0800X 2009001634 MO
Psychiatry Physician 2084P0800X ME147052 FL Primary

Addresses

Primary practice location

210 S Bumby Ave Ste C
Orlando, FL 32803-7411

Mailing address

26 Log Cabin Dr
Saint Louis, MO 63124-1588
Phone (203) 927-6377

Other practice location 1

745 Old Frontenac Sq
Suite 201
Saint Louis, MO 63131-2754
Phone (314) 395-8940

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME147052FLMDPsychiatry Physician
2009001634MOMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Town of Branford Psychiatry PastSince Nov 6, 1990 Accepting new patients
Mercy Clinic Child and Adolescent Psychiatry, LLC Psychiatry PastSince Jan 1, 2007 Accepting new patients

Organizations & group practices 2

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1376687301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LOG CABIN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241588",
            "telephone_number": "203-927-6377",
            "fax_number": "407-550-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S BUMBY AVE STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328037411",
            "telephone_number": "407-743-0337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 Old Frontenac Sq",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631312754",
            "country_code": "US",
            "telephone_number": "314-395-8940",
            "fax_number": "314-395-8941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ZINIA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MO",
            "license": "2009001634",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2009001634",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME147052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.