Active NPI
Yolanda Michelle Thomas, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1609106319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 018965
- Practice address
- 200 W 135TH St
New York, NY 10030-2802 - Phone
- (646) 317-0294
- Fax
- (212) 283-9235
- NPI assigned
- Dec 31, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 018965 | NY | Primary |
Addresses
Primary practice location
200 W 135TH St
New York, NY 10030-2802
Mailing address
81 Fort Greene PL # 1
Brooklyn, NY 11217-1218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140106001518 | NY | Order and Referring Only - Clinical Psychologist | 4880822436 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018965 | NY | MD | Speech-Language Pathologist |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378425600000",
"number": "1609106319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 FORT GREENE PL # 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W 135TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100302802",
"telephone_number": "646-317-0294",
"fax_number": "212-283-9235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "YOLANDA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-31",
"last_updated": "2013-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "018965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.