Active NPI
Delia J Thrasher, PHD
- Psychologist
- Carson City, MI
National Provider Identifier
1508825415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301010540
- Practice address
- 102 S. Third St
Suite 500
Carson City, MI 48811 - Phone
- (989) 584-6472
- Fax
- (989) 584-3116
- NPI assigned
- Mar 20, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301010540 | MI | Primary |
Addresses
Primary practice location
102 S. Third St
Suite 500
Carson City, MI 48811
Mailing address
406 E Elm St
PO Box 730
Carson City, MI 48811
Phone (989) 584-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4385156 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301010540 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Carson Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba University of Michigan Health-Sparrow
- Cardiovascular Disease Physician
- Carson City, MI
- NPI 1063245694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508825415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 E ELM ST",
"address_2": "PO BOX 730",
"city": "CARSON CITY",
"state": "MI",
"postal_code": "48811",
"telephone_number": "989-584-3131",
"fax_number": "989-584-6734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S. THIRD ST",
"address_2": "SUITE 500",
"city": "CARSON CITY",
"state": "MI",
"postal_code": "48811",
"telephone_number": "989-584-6472",
"fax_number": "989-584-3116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRASHER",
"first_name": "DELIA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301010540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4385156",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carson City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.