Individual provider Active NPI

Ruby Thomas, M.D.

  • Psychiatry Physician
  • Fredericksburg, VA
National Provider Identifier
1497705032
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101237800 Issued in VA
Practice address
3920 Plank Rd
120
Fredericksburg, VA 22407-7104
Phone
(540) 242-4141
Fax
(866) 271-1720
NPI assigned
May 12, 2006
Last updated
Mar 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101237800 VA Primary

Addresses

Primary practice location

3920 Plank Rd
120
Fredericksburg, VA 22407-7104

Mailing address

3920 Plank Rd
120
Fredericksburg, VA 22407-7104
Phone (540) 242-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050616001121 VA Practitioner - Psychiatry 8628012986 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prince William County Community Services Board CurrentSince Mar 5, 2016 Accepting new patients
Prince William County CurrentSince Mar 5, 2016 Accepting new patients
Centre Pointe Health Specialties CurrentSince Nov 20, 2006 Accepting new patients
Mary Washington Healthcare Specialty Services LLC Past Accepting new patients

Locations

3920 Plank Rd
Ste 120
Fredericksburg, VA 22407
Phone (540) 242-4141

7969 Ashton Ave
Manassas, VA 20109
Phone (703) 792-7826

14011 Worth Ave
Ste 110
Woodbridge, VA 22192

Organizations & group practices 5

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1497705032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 PLANK RD",
            "address_2": "120",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077104",
            "telephone_number": "540-242-4141",
            "fax_number": "866-271-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 PLANK RD",
            "address_2": "120",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077104",
            "telephone_number": "540-242-4141",
            "fax_number": "866-271-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RUBY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101237800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.