NPIMap

Organization Active NPI

Douglas a. Thom Clinic, Inc.

Doing business as Thom Child & Family Services

  • Developmental Disabilities Clinic/Center
  • Lowell, MA
National Provider Identifier
1396771820
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
008838 Issued in MA
Legal business name
DOUGLAS A. THOM CLINIC, INC.
Doing business as
Thom Child & Family Services
Practice address
126 Phoenix Ave
Building #2
Lowell, MA 01852-4931
Phone
(978) 453-8331
Fax
(978) 453-9254
NPI assigned
Jun 25, 2006
Last updated
May 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Gretchen Rowe Owens
Title
Executive Director
Phone
(508) 655-5222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 008838 MA Primary

Addresses

Primary practice location

126 Phoenix Ave
Building #2
Lowell, MA 01852-4931

Mailing address

251 W Central St
Suite 22
Natick, MA 01760-3758
Phone (508) 655-5222

Other identifiers 8

IdentifierTypeStateIssuer
1887289MedicaidMA
1802097MedicaidMA
1802976MedicaidMA
1803131MedicaidMA
1800353MedicaidMA
1800574MedicaidMA
1803301MedicaidMA
1887271MedicaidMA

Other names 1

  • Thom Child & Family Services Doing business as

National Provider Directory

National Provider Directory

Locations

126 Phoenix Ave
Ste 2
Lowell, MA 01852
Phone (978) 453-8331

251 W Central St
Ste 22
Natick, MA 01760
Phone (508) 655-5222

Practitioners & affiliated clinicians

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1396771820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 W CENTRAL ST",
            "address_2": "SUITE 22",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603758",
            "telephone_number": "508-655-5222",
            "fax_number": "508-655-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PHOENIX AVE",
            "address_2": "BUILDING #2",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018524931",
            "telephone_number": "978-453-8331",
            "fax_number": "978-453-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A. THOM CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "ROWE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-655-5222"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "MA",
            "license": "008838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1887289",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802097",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802976",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1803131",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1800353",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1800574",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1803301",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1887271",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thom Child & Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.