Individual provider Active NPI

Steven Edward Thomas, PPS

  • School Psychologist
  • Sonoma, CA
National Provider Identifier
1467083139
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
160010841 Issued in CA
Practice address
17811 Arnold Dr
Sonoma, CA 95476-4019
Phone
(707) 996-3849
NPI assigned
Jan 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 160010841 CA Primary

Addresses

Primary practice location

17811 Arnold Dr
Sonoma, CA 95476-4019

Mailing address

17811 Arnold Dr
Sonoma, CA 95476-4019
Phone (707) 996-3849

Other practice location 1

17811 Arnold Dr
Sonoma, CA 95476-4019
Phone (707) 996-3849

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

State licenses

LicenseStateTypeSpecialty
160010841CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodland Star Charter School PastSince Feb 2, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1467083139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17811 ARNOLD DR",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954764019",
            "telephone_number": "707-996-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17811 ARNOLD DR",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954764019",
            "telephone_number": "707-996-3849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17811 Arnold Dr",
            "address_purpose": "LOCATION",
            "city": "Sonoma",
            "state": "CA",
            "postal_code": "954764019",
            "country_code": "US",
            "telephone_number": "707-996-3849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "STEVEN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "160010841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.