Thomas Lee Dimitry, PH.D.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

3800 Issued in NJ

Practice address

61 N Maple Ave
Suite 204E
Ridgewood, NJ 07450-3255

Phone

(201) 445-6677

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1407060833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 N MAPLE AVE",
            "address_2": "SUITE 204E",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503255",
            "telephone_number": "201-445-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 N MAPLE AVE",
            "address_2": "SUITE 204E",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503255",
            "telephone_number": "201-445-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITRY",
        "first_name": "THOMAS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NJ",
            "license": "3800",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "3800",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "3800",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NJ",
            "license": "3800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad M Deyoung, M.D.
• Wilhelmina Amelia Difilippo, LSW
• Louise Digia Levenshus, DC
• Patricia Dignam
• Anthony Dimitrion, LMSW
• Joseph John Diorio Jr., M.D.
• Marisa Distefano, LPC
• Ruthellen Grace Dixon, OTR
• Ismar Dizdarevic, M.D.
• Igor Dmytrienko, MD

• School Psychologist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• School Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.