Individual provider Active NPI

Mekha Thomas, PSY.D.

  • Clinical Psychologist
  • Bronx, NY
National Provider Identifier
1619286432
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
018813 Issued in NY
Practice address
3380 Reservoir Oval
Montefiore Medical Center School Health Program
Bronx, NY 10467-3101
Phone
(718) 696-4065
NPI assigned
Sep 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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 018813 NY Primary

Addresses

Primary practice location

3380 Reservoir Oval
Montefiore Medical Center School Health Program
Bronx, NY 10467-3101

Mailing address

24 Winchester Ave
2B
Yonkers, NY 10710-5809
Phone (516) 655-2751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 29, 2019 through Jun 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
018813NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Behavioral Associates, LLP Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1619286432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WINCHESTER AVE",
            "address_2": "2B",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105809",
            "telephone_number": "516-655-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 RESERVOIR OVAL",
            "address_2": "MONTEFIORE MEDICAL CENTER SCHOOL HEALTH PROGRAM",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104673101",
            "telephone_number": "718-696-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MEKHA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.