Individual provider Active NPI

Thomas James Rankin, PH.D.

  • Psychologist
  • West Hollywood, CA
National Provider Identifier
1467893560
Registry record updated Jun 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY26816 Issued in CA
Practice address
8235 Santa Monica Blvd Ste 302
West Hollywood, CA 90046-5969
Phone
(310) 892-4284
Fax
(323) 366-2966
NPI assigned
Jul 17, 2013
Last updated
Jun 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY26816 CA Primary

Addresses

Primary practice location

8235 Santa Monica Blvd Ste 302
West Hollywood, CA 90046-5969

Mailing address

8235 Santa Monica Blvd., Ste 302
West Hollywood, CA 90046
Phone (888) 684-2779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150407000332 CA Practitioner - Clinical Psychologist 2163740945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mellow Medical Inc a Professional CorporationGroup PAC ID 3375767403, 30 clinicians

Practice addresses (Care Compare)

8235 Santa Monica Blvd
Suite 302
West Hollywood, CA 90046-5969
Phone (888) 684-2779

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY26816CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mellow Medical Inc a Professional Corporation CurrentSince Mar 3, 2015 Accepting new patients
Hlca, Inc. CurrentSince Sep 8, 2019 Accepting new patients

Locations

12301 Wilshire Blvd
Ste 512
Los Angeles, CA 90025
Phone (833) 601-3496

4685 MacArthur Ct
Ste 340
Newport Beach, CA 92660
Phone (949) 424-4544

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

8235 Santa Monica Blvd
Ste 300
West Hollywood, CA 90046
Phone (310) 892-4284

8235 Santa Monica Blvd
Ste 302
West Hollywood, CA 90046
Phone (310) 892-4284

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4
  • Direct secure messaging: thomas.rankin.1@9357.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498348800000",
    "number": "1467893560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 SANTA MONICA BLVD., STE 302",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "888-684-2779",
            "fax_number": "323-366-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 SANTA MONICA BLVD STE 302",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465969",
            "telephone_number": "310-892-4284",
            "fax_number": "323-366-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANKIN",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2017-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY26816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.