Individual provider Active NPI

Thomas S. Wind, D.O.

  • Child & Adolescent Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1508982265
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
OS007804L Issued in PA
Practice address
3300 Henry Ave
Philadelphia, PA 19129-1141
Phone
(215) 895-5588
Fax
(215) 895-5658
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X OS007804L PA Primary

Addresses

Primary practice location

3300 Henry Ave
Philadelphia, PA 19129-1141

Mailing address

1040 N Providence Rd
Media, PA 19063-2101
Phone (610) 891-7705

Other practice location 1

1040 N Providence Rd
Media, PA 19063-2101
Phone (610) 891-7705

Other practice location 2

40 Darby Rd Ste 2
Paoli, PA 19301-1481
Phone (610) 999-1908

Other practice location 3

4040 Market St
Philadelphia, PA 19104-3003
Phone (215) 895-5588

Other practice location 4

111 Elwyn Rd
Media, PA 19063-4622
Phone (610) 891-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160616000223 PA Practitioner - Psychiatry 9032400304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Row Psychiatric Services, LLCGroup PAC ID 4880029214, 8 clinicians

Practice addresses (Care Compare)

40 Lloyd Ave
Suite 206
Malvern, PA 19355-3091
Phone (610) 999-1908

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Row Psychiatric Services, LLC CurrentSince Sep 13, 2020 Accepting new patients
Springfield Psychological PC CurrentSince May 14, 2016 Accepting new patients
T S Wind Associates LLC Past Accepting new patients

Locations

40 Lloyd Ave
Ste 206
Malvern, PA 19355
Phone (610) 999-1908

40 Darby Rd
Ste 2
Paoli, PA 19301
Phone (610) 999-1908

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1508982265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 N PROVIDENCE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632101",
            "telephone_number": "610-891-7705",
            "fax_number": "610-891-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 HENRY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291141",
            "telephone_number": "215-895-5588",
            "fax_number": "215-895-5658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 N Providence Rd",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190632101",
            "country_code": "US",
            "telephone_number": "610-891-7705",
            "fax_number": "610-891-7706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Darby Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011481",
            "country_code": "US",
            "telephone_number": "610-999-1908",
            "fax_number": "267-214-3250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4040 Market St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191043003",
            "country_code": "US",
            "telephone_number": "215-895-5588",
            "fax_number": "215-895-5658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Elwyn Rd",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190634622",
            "country_code": "US",
            "telephone_number": "610-891-7007",
            "fax_number": "610-891-2666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIND",
        "first_name": "THOMAS",
        "middle_name": "S.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "OS007804L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.