Active NPI
Montriel Thorne
- Exercise & Sports Psychologist
- Lanham, MD
National Provider Identifier
1396435897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exercise & Sports Psychologist
- Practice address
- 7629 Seans Ter
Lanham, MD 20706-1341 - Phone
- (240) 602-8273
- NPI assigned
- May 9, 2023
- Last updated
- May 9, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exercise & Sports Psychologist | 103TE1100X | Primary |
Addresses
Primary practice location
7629 Seans Ter
Lanham, MD 20706-1341
Mailing address
7629 Seans Ter
Lanham, MD 20706-1341
Phone (240) 602-8273
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1396435897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7629 SEANS TER",
"city": "LANHAM",
"state": "MD",
"postal_code": "207061341",
"telephone_number": "240-602-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7629 SEANS TER",
"city": "LANHAM",
"state": "MD",
"postal_code": "207061341",
"telephone_number": "240-602-8273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNE",
"first_name": "MONTRIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-09",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.