Individual provider Active NPI

Randall Stephen Thomas, PH.D.

  • Clinical Neuropsychologist
  • Poughkeepsie, NY
National Provider Identifier
1467590802
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
8681-1 Issued in NY
Practice address
3 Loockerman Ave
Poughkeepsie, NY 12601-4905
Phone
(845) 471-2267
Fax
(860) 868-1288
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 8681-1 NY Primary
Psychologist 103T00000X 8681-1 NY
Clinical Psychologist 103TC0700X 8681-1 NY

Addresses

Primary practice location

3 Loockerman Ave
Poughkeepsie, NY 12601-4905

Mailing address

3 Loockerman Ave
Poughkeepsie, NY 12601-4905
Phone (845) 471-2267

Other identifiers 1

IdentifierTypeStateIssuer
01272-13MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 14, 2024 through Nov 14, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8681-1NYMDClinical Psychologist
008681NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hollander Psychological Consulting PC Clinical PastSince Sep 21, 1992 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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1467590802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LOOCKERMAN AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014905",
            "telephone_number": "845-471-2267",
            "fax_number": "860-868-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LOOCKERMAN AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014905",
            "telephone_number": "845-471-2267",
            "fax_number": "860-868-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RANDALL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "8681-1",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "8681-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "8681-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01272-13",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.