Deanetta Denise Thomas

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

License

1963374 Issued in DC

Practice address

1417 Saratoga Ave NE
Washington, DC 20018-1923

Phone

(202) 440-7204

NPI assigned

May 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1659947885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 LANGSTON PL SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200203238",
            "telephone_number": "202-718-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 SARATOGA AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181923",
            "telephone_number": "202-440-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DEANETTA",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "DC",
            "license": "1963374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90867031",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Thomas
• Christopher Paul Thomas
• Constance Thomas
• Dana Thomas, MD MPH
• Dana L Thomas
• Deangelo Thomas
• Deirra Thomas
• Dekima Maria Thomas
• Delores Thomas
• Denyese Allyson Thomas

• Adult Development & Aging Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Adult Development & Aging Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.