Active NPI
Thomas W. Lane, PH.D.
- Clinical Psychologist
- Allentown, PA
National Provider Identifier
1578683934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS005998L
- Practice address
- 1251 S Cedar Crest Blvd
Suite 111D
Allentown, PA 18103-6205 - Phone
- (610) 434-7020
- Fax
- (610) 434-7802
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS005998L | PA | Primary |
Addresses
Primary practice location
1251 S Cedar Crest Blvd
Suite 111D
Allentown, PA 18103-6205
Mailing address
1251 S Cedar Crest Blvd
Suite 111D
Allentown, PA 18103-6205
Phone (610) 434-7020
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LA669551 | Other | PA | BLUE SHIELD PROVIDER # |
| 50016330 | Other | PA | CAPITAL BLUE CROSS-GROUP |
| P3179629 | Other | PA | OXFORD PROVIDER # |
| 15563000 | Other | PA | MAGELLAN PROVIDER # |
| 50016329 | Other | PA | CAPITAL BLUE CROSS IND |
| 550010003484 | Other | PA | PACIFICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS005998L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578683934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 S CEDAR CREST BLVD",
"address_2": "SUITE 111D",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036205",
"telephone_number": "610-434-7020",
"fax_number": "610-434-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 S CEDAR CREST BLVD",
"address_2": "SUITE 111D",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036205",
"telephone_number": "610-434-7020",
"fax_number": "610-434-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "THOMAS",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS005998L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER #",
"identifier": "LA669551",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-GROUP",
"identifier": "50016330",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER #",
"identifier": "P3179629",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN PROVIDER #",
"identifier": "15563000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS IND",
"identifier": "50016329",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "550010003484",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.