Bruce Conrad St. Thomas, ED.,D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC458 Issued in ME

Practice address

545 Westbrook St
South Portland, ME 04106-1909

Phone

(207) 772-4789

NPI assigned

Jan 26, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Joan E. Larkin Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Portland, ME
  • NPI 1982915278
  NPD (past)

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1497086714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 WESTBROOK ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061909",
            "telephone_number": "207-772-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 WESTBROOK ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061909",
            "telephone_number": "207-772-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. THOMAS",
        "first_name": "BRUCE",
        "middle_name": "CONRAD",
        "name_prefix": "Dr.",
        "credential": "ED.,D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC458",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ME",
            "license": "MF301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Spiegel, LCPC-C
• Kellie Sprague, MD
• Spurwink Services
• George W St Clair Jr., LCPC
• Paige Elizabeth St. Germain
• Standard Care, LLC
• Molly Dana Stanley, LCSW
• Amy Celina Staples
• Jennifer Stapleton
• Megan A Staton, MD

• Professional Counselor in South Portland, ME
• Providers in South Portland, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.