Tyriq Thomas

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

9 Sullivan Rd
Holyoke, MA 01040-2841

Phone

(413) 532-9446

NPI assigned

Dec 7, 2021

Sex

Male

Sole proprietor

Yes

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.

• Massachusetts Society for the Prevention of Cruelty to Children

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boston, MA
  • NPI 1285712596
  NPD
• Mspcc Mass Society of Prevention of Crualty to Children

  • Community/Behavioral Health Agency
  • Holyoke, MA
  • NPI 1376928937
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2021.

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1649938671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CHESTER ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051612",
            "telephone_number": "702-501-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SULLIVAN RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402841",
            "telephone_number": "413-532-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TYRIQ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Stop & Shop Supermarket Company, LLC
• Robin Therrien, L.I.C.S.W
• Bailey Claire Thomas
• Cynthia Denise Thomas, DMD
• Preetha Thomas, D.M.D.
• Debra Lynn Thompson, SPEECH ASSISTANT
• Laura Thompson, MSW
• Tia Thompson
• Elise Thomson, RN
• Beverley Juan Thorington

• All providers in Holyoke, MA
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.