Duane Edward Thomas, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

05557 Issued in MD

Practice address

405 Frederick Road
Suite 158
Catonsville, MD 21228-4633

Phone

(410) 747-1265

Fax

(410) 744-7981

NPI assigned

Aug 1, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1508298423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FREDERICK ROAD",
            "address_2": "SUITE 158",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284633",
            "telephone_number": "410-747-1265",
            "fax_number": "410-744-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 FREDERICK ROAD",
            "address_2": "SUITE 158",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284633",
            "telephone_number": "410-747-1265",
            "fax_number": "410-744-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DUANE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05557",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "05557",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100155800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Help Outreach Center Inc
• The Improving Quality of Life, LLC
• The Kindcare LLC
• The Resilient Life Counseling & Wellness Center
• The Well House Collective
• Keeley McCormack Thomas, LCSW-C
• Kristin E Thomas, PA-C
• Pierre Nicolau Thomas, LICSW, LCSW-C, LCSW
• Sharon Kay Thomas, C.D. (DONA)
• Erica Joy Thompson, LCPC

• Psychologist in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.