Julie A Thysen, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

017777 Issued in NY

Practice address

130 W Kingsbridge Rd
James J Peters Vamc
Bronx, NY 10468-3904

Phone

(718) 584-9000

NPI assigned

Nov 27, 2007

Last updated

Dec 8, 2008By the provider in NPPES

Sex

Female

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

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1386826840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E 19TH ST",
            "address_2": "APARTMENT 8C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W KINGSBRIDGE RD",
            "address_2": "JAMES J PETERS VAMC",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683904",
            "telephone_number": "718-584-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THYSEN",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "017777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayavadhan Thuppal, M.D.
• Dominique Alyssa Thurston, DO
• Stacey Thurton
• Ahjale Thybulle
• Ebony Princess Thyme, FNP
• Amelia Ti, MS, RD, CDN
• Helen Siqi Tian
• Amit S Tibb, MD
• Jomo Tibby, RN
• Dhesiay Silvia Tiburcio, LCSW

• Clinical Neuropsychologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.