Individual provider Active NPI

Peter Forsyth Thomas, PH.D.

  • Counseling Psychologist
  • Plano, TX
National Provider Identifier
1609009315
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
6404 International Pkwy Ste 1010
Plano, TX 75093-8346
Phone
(972) 267-1988
Fax
(972) 267-3434
NPI assigned
Aug 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

6404 International Pkwy Ste 1010
Plano, TX 75093-8346

Mailing address

6404 International Pkwy Ste 1010
Plano, TX 75093-8346
Phone (972) 267-1988

Other identifiers 1

IdentifierTypeStateIssuer
34786OtherTXLICENSE

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
I20110812000369 TX Practitioner - Clinical Psychologist 9032388855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Medical Associates, PAGroup PAC ID 5597852749, 4 clinicians

Practice addresses (Care Compare)

6404 International Pkwy
Suite 1010
Plano, TX 75093-8346
Phone (972) 267-1988

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Medical Associates, PA CurrentSince Dec 2, 2019 Accepting new patients
Joel a. Holiner, MD PA CurrentSince Aug 1, 2011 Accepting new patients

Locations

7777 Forest Ln
Ste C833
Dallas, TX 75230
Phone (972) 566-4591

6404 International Pkwy
Ste 1010
Plano, TX 75093
Phone (972) 267-1988

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, 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": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1609009315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 INTERNATIONAL PKWY STE 1010",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938346",
            "telephone_number": "972-267-1988",
            "fax_number": "972-267-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 INTERNATIONAL PKWY STE 1010",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938346",
            "telephone_number": "972-267-1988",
            "fax_number": "972-267-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PETER",
        "middle_name": "FORSYTH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "34786",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.