Active NPI
Jean Thomas
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1649671314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY32701
- Practice address
- 95 N Marengo Ave Ste 200
Pasadena, CA 91101-1746 - Phone
- (626) 585-8075
- NPI assigned
- Sep 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | PSY32701 | CA | Primary |
Addresses
Primary practice location
95 N Marengo Ave Ste 200
Pasadena, CA 91101-1746
Mailing address
66 Hurlbut St
Pasadena, CA 91105-4025
Phone (626) 441-4221
Other practice location 1
66 Hurlbut St
Pasadena, CA 91105-4025
Phone (626) 441-4221
Other practice location 2
3075 Adeline St
ste 120
Berkeley, CA 94703-2576
Phone (510) 848-1112
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY32701 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Through the Looking Glass | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Berkeley, CA
- NPI 1528267028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1649671314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 HURLBUT ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911054025",
"telephone_number": "626-441-4221",
"fax_number": "626-441-6479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 N MARENGO AVE STE 200",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011746",
"telephone_number": "626-585-8075"
}
],
"practiceLocations": [
{
"address_1": "66 Hurlbut St",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911054025",
"country_code": "US",
"telephone_number": "626-441-4221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3075 Adeline St",
"address_2": "ste 120",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947032576",
"country_code": "US",
"telephone_number": "510-848-1112",
"fax_number": "510-848-4445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY32701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.