Active NPI
Thomas Robert Warner, PHD
- Clinical Psychologist
- Hendersonville, NC
National Provider Identifier
1649225327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5174
- Practice address
- 244 5TH Ave W Ste 210
Hendersonville, NC 28739 - Phone
- (828) 595-9556
- Fax
- (828) 595-9556
- NPI assigned
- May 23, 2006
- Last updated
- Jul 6, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 888 | LA | |
| Psychologist | 103T00000X | 5174 | NC | |
| Clinical Psychologist | 103TC0700X | 888 | LA | |
| Clinical Psychologist | 103TC0700X | 5174 | NC | Primary |
Addresses
Primary practice location
244 5TH Ave W Ste 210
Hendersonville, NC 28739
Mailing address
114 Kindy Forest Dr
Hendersonville, NC 28739-8847
Phone (828) 290-7083
Other practice location 1
114 Kindy Forest Dr
Hendersonville, NC 28739-8847
Phone (828) 290-7083
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 |
|---|---|---|---|
| 5174 | NC | MD | Speech-Language Pathologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Hendersonville, NC
- NPI 1447204623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530835200000",
"number": "1649225327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 KINDY FOREST DR",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287398847",
"telephone_number": "828-290-7083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 5TH AVE W STE 210",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "28739",
"telephone_number": "828-595-9556",
"fax_number": "828-595-9556"
}
],
"practiceLocations": [
{
"address_1": "114 Kindy Forest Dr",
"address_purpose": "LOCATION",
"city": "Hendersonville",
"state": "NC",
"postal_code": "287398847",
"country_code": "US",
"telephone_number": "828-290-7083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARNER",
"first_name": "THOMAS",
"middle_name": "ROBERT",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "LA",
"license": "888",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "5174",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "888",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "5174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.