Individual provider Active NPI

Sajo Joseph Thomas, APRN PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1477199198
Registry record updated May 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
272063 Issued in AZ
Practice address
1301 Center St
Des Moines, IA 50309-1004
Phone
(515) 243-5181
NPI assigned
Nov 18, 2019
Last updated
May 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 272063 AZ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95022500 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP144170 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G157059 IA

Addresses

Primary practice location

1301 Center St
Des Moines, IA 50309-1004

Mailing address

520 E Fork Rd
Sunnyvale, TX 75182-9612
Phone (972) 850-7771

Other practice location 1

945 19th St
Des Moines, IA 50314-1117
Phone (515) 241-0982

Other practice location 2

13509 Lyndon B Johnson Fwy Ste 200
Garland, TX 75041-4704
Phone (972) 850-7771

Other practice location 3

13509 Lyndon B Johnson Fwy Ste 200
Garland, TX 75041-4704
Phone (972) 850-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210112001670 IA Practitioner - Nurse Practitioner 3870906845 Reassigns benefits to 1 organization
I20241210003575 TX Practitioner - Nurse Practitioner 3870906845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

Sunnyvale, TX 75182
Phone (515) 241-0982

1301 Ctr St
Des Moines, IA 50309-1004
Phone (515) 243-5181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
272063AZMDPsychiatric/Mental Health Nurse Practitioner
95022500CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Eyerly Ball Community Mental Health Services Single Specialty CurrentSince Oct 13, 2020 Accepting new patients
Eyerly Ball Community Mental Health Services Single Specialty CurrentSince Oct 13, 2020 Accepting new patients

Locations

2521 University Blvd
Ste 121
Ames, IA 50010
Phone (515) 292-2150

1301 Center St
Des Moines, IA 50309
Phone 5152410982852

945 19th St
Des Moines, IA 50314
Phone (515) 235-8822

1007 S Jefferson Way
Indianola, IA 50125
Phone (515) 961-1032

Interoperability endpoints

  • Direct secure messaging: sthomas1021939@direct.unitypoint.org

Organizations & group practices 3

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": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1477199198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E FORK RD",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829612",
            "telephone_number": "972-850-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CENTER ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091004",
            "telephone_number": "515-243-5181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 19th St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503141117",
            "country_code": "US",
            "telephone_number": "515-241-0982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13509 Lyndon B Johnson Fwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750414704",
            "country_code": "US",
            "telephone_number": "972-850-7771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13509 Lyndon B Johnson Fwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750414704",
            "country_code": "US",
            "telephone_number": "972-850-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SAJO",
        "middle_name": "JOSEPH",
        "credential": "APRN PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-18",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "272063",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95022500",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144170",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G157059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.