Individual provider Active NPI

Larry Dwayne Thomas, PH.D.

  • Clinical Psychologist
  • Brenham, TX
National Provider Identifier
1508862780
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1-2195 Issued in TX
Practice address
2211 S Day St
Ste 405
Brenham, TX 77833-0901
Phone
(979) 830-7080
Fax
(979) 830-7124
NPI assigned
Jun 22, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1-2195 TX Primary

Addresses

Primary practice location

2211 S Day St
Ste 405
Brenham, TX 77833-0901

Mailing address

2211 S Day St
Ste 405
Brenham, TX 77833-0901
Phone (979) 830-7080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20100921001465 TX Practitioner - Clinical Psychologist 2062538572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Texas a & M University System, HSC, College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2211 S Day St
Suite 405
Brenham, TX 77833-0901
Phone (979) 830-7080

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Larry D Thomas PHD Inc CurrentSince Sep 1, 1999 Accepting new patients

Locations

2211 S Day St
Ste 405
Brenham, TX 77833
Phone (409) 830-7080

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508862780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 S DAY ST",
            "address_2": "STE 405",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778330901",
            "telephone_number": "979-830-7080",
            "fax_number": "979-830-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 S DAY ST",
            "address_2": "STE 405",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778330901",
            "telephone_number": "979-830-7080",
            "fax_number": "979-830-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LARRY",
        "middle_name": "DWAYNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "1-2195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

Verify at the official NPI Registry.