Carroll R. Thomas, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

100 Issued in NV

Practice address

2920 N Green Valley Pkwy
Suite 321, Building 3
Henderson, NV 89014-0406

Phone

(702) 369-3704

NPI assigned

Nov 24, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1497900013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4058 VELARDE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201435",
            "telephone_number": "702-456-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N GREEN VALLEY PKWY",
            "address_2": "SUITE 321, BUILDING 3",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140406",
            "telephone_number": "702-369-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CARROLL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "748",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "100",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J Hellyer Dietitian & Associates LLC
• Thomas R Kroll OD Chartered
• Ana Karen Thomas, LMSW, CSW-INTERN
• Beena Thomas, PA-C
• Brenda Thomas, R.D.H
• Emily Jill Thomas, LCPC, NCC
• Glenda Thomas
• Hannah Thomas
• Jason Thomas, PHARMD
• Jazmyne J Thomas

• Clinical Psychologist in Henderson, NV
• Providers in Henderson, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.