Individual provider Active NPI

David Dallas Thomason, PSY.D., M.P.

  • Prescribing (Medical) Psychologist
  • Chapel Hill, NC
National Provider Identifier
1447460613
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
MP.0013 Issued in LA
Practice address
203 Somerset Dr
Chapel Hill, NC 27514-2415
Phone
(318) 322-0770
Fax
(318) 322-0779
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) Psychologist 103TP0016X MP.0013 LA Primary

Addresses

Primary practice location

203 Somerset Dr
Chapel Hill, NC 27514-2415

Mailing address

203 Somerset Dr
Chapel Hill, NC 27514-2415
Phone (318) 322-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MP.0013LAMDPrescribing (Medical) Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1447460613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SOMERSET DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142415",
            "telephone_number": "318-322-0770",
            "fax_number": "318-322-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SOMERSET DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142415",
            "telephone_number": "318-322-0770",
            "fax_number": "318-322-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASON",
        "first_name": "DAVID",
        "middle_name": "DALLAS",
        "name_prefix": "Dr.",
        "credential": "PSY.D., M.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "MP.0013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.