Mark Thomas, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3244 Issued in OR

Practice address

1925 NE Stucki Ave
Hillsboro, OR 97006-6945

Phone

(503) 906-5019

NPI assigned

Jan 27, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• George Fox University

  • Athletic Trainer
  • Newberg, OR
  • NPI 1770613036
  NPD (past)

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1386001915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23555 NE HIGHWAY 240",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 NE STUCKI AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066945",
            "telephone_number": "503-906-5019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Newberg",
            "state": "OR",
            "postal_code": "971322697",
            "country_code": "US",
            "telephone_number": "503-554-2370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARK",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-27",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "3244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Thomas, LMT
• Jennifer Thomas, LMT
• Kristen Loree Thomas, RDH
• Leah S Thomas
• Lina Dornelas Thomas, PH.D.
• Matthew McEntee Thomas, PHARMD, RPH
• Quentin Vivian Thomas, M.S. MCFC
• Willa Isreal Thomas, LMT
• David Thomasson, LMT
• Kendra L Thoren, D.O.

• Psychologist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.