Thomas Joseph Conboy, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

555 Issued in AL

Practice address

1200 14TH St
Suite a
Phenix City, AL 36867-4907

Phone

(205) 821-1607

NPI assigned

Sep 10, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1376893032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WICKHAM DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319076329",
            "telephone_number": "205-821-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 14TH ST",
            "address_2": "SUITE A",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368674907",
            "telephone_number": "205-821-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONBOY",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-10",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AL",
            "license": "555",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "555",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbus Hospice of Alabama
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• Complete Patient Services
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• Lynn Compton
• Joseph Earl Conklin Jr., M.D.
• William Cole Connelley, DO
• Muhammad-Abbas Conteh, MD
• Stephen B Cooper, D.C.
• Jennifer Cotarelo, LMT

• Clinical Neuropsychologist in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Clinical Neuropsychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.