Active NPI
Thomas Brooks Paulus, PSY.D.
- Clinical Psychologist
- Encinitas, CA
National Provider Identifier
1649812363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY30755
- Practice address
- 169 Saxony Rd Ste 205
Encinitas, CA 92024-6780 - Phone
- (540) 761-3404
- NPI assigned
- Oct 15, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY30755 | CA | Primary |
Addresses
Primary practice location
169 Saxony Rd Ste 205
Encinitas, CA 92024-6780
Mailing address
253 Delphinium St
Encinitas, CA 92024-3304
Phone (540) 761-3404
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 |
|---|---|---|---|
| PSY30755 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1649812363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 DELPHINIUM ST",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920243304",
"telephone_number": "540-761-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 SAXONY RD STE 205",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920246780",
"telephone_number": "540-761-3404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULUS",
"first_name": "THOMAS",
"middle_name": "BROOKS",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-15",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY30755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.