Individual provider Active NPI

Richard Henry Thornes, PH.D.

  • Psychologist
  • Lansing, MI
National Provider Identifier
1467552901
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301002407 Issued in MI
Practice address
1020 S Creyts Rd Ste 307
Lansing, MI 48917-8236
Phone
(517) 323-8255
Fax
(517) 887-6478
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301002407 MI Primary

Addresses

Primary practice location

1020 S Creyts Rd Ste 307
Lansing, MI 48917-8236

Mailing address

1020 S Creyts Rd Ste 307
Lansing, MI 48917-8236
Phone (517) 323-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090327000223 MI Practitioner - Clinical Psychologist 2264599737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

413 Kenway Dr
Lansing, MI 48917-3040

6378 Bishop Rd
Lansing, MI 48911-6211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301002407MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Levalley Integrated Services LLC PastSince Feb 12, 2023 Accepting new patients

Organizations & group practices 2

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467552901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S CREYTS RD STE 307",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178236",
            "telephone_number": "517-323-8255",
            "fax_number": "517-887-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S CREYTS RD STE 307",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178236",
            "telephone_number": "517-323-8255",
            "fax_number": "517-887-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNES",
        "first_name": "RICHARD",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301002407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.