Thomas W Thornberry, M.A.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

114440 Issued in KY

Practice address

Bluegrass Health Psychology, Inc.
2220 Young Drive
Lexington, KY 40505-4219

Phone

(859) 277-1008

Fax

(859) 277-1083

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ei-bhp

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.

• Bluegrass Health Psychology, Inc.

  • Clinical Psychologist
  • Lexington, KY
  • NPI 1619061470
  NPD
• Bluegrass Internal Medicine and Nephrology

  • Nephrology Physician
  • Lexington, KY
  • NPI 1609361724
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1639127558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLUEGRASS HEALTH PSYCHOLOGY, INC.",
            "address_2": "4101 TATES CREEK CTR DR, STE 150 PMB 123",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173066",
            "telephone_number": "859-277-1008",
            "fax_number": "859-277-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLUEGRASS HEALTH PSYCHOLOGY, INC.",
            "address_2": "2220 YOUNG DRIVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054219",
            "telephone_number": "859-277-1008",
            "fax_number": "859-277-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBERRY",
        "first_name": "THOMAS",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KY",
            "license": "0043",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KY",
            "license": "114440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1228477",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100417130",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000478236",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah R Thomsen
• Ellen Thomson, APRN
• Laura Thomson
• Mary Catherine Thomson, MD
• Abigail Thornberry, M.S. CCC-SLP
• Sheila Elaine Thornsberry, PAC
• Olivia Renee Thornsbury
• Alice Chaffin Thornton, MD
• David R Thornton, DMD
• Erin E Thornton

• Cognitive & Behavioral Psychologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Cognitive & Behavioral Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.