Thomas Alan Miklusak, MD PHD

Primary specialty

Psychoanalysis PsychologistTaxonomy code 103TP0814X

Practice address

180 S Lake Ave
Suite 255
Pasadena, CA 91101

Phone

(626) 792-9949

Fax

(818) 952-5360

NPI assigned

Sep 29, 2006

Last updated

Oct 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1669564175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S LAKE AVE",
            "address_2": "SUITE 225",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91101",
            "telephone_number": "626-792-9949",
            "fax_number": "818-952-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S LAKE AVE",
            "address_2": "SUITE 255",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91101",
            "telephone_number": "626-792-9949",
            "fax_number": "818-952-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLUSAK",
        "first_name": "THOMAS",
        "middle_name": "ALAN",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C35318",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "C35318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Mikashus, PSY.D.
• Mike V Wong OD a Professional Corp (Pasadena Eyecare Optometry)
• Rob B Mikels, ATC
• Mikhail Blinchik MD Inc
• Asbasia Aboelkhair Mikhail, M.D.
• Patricia Mary Mikulan, RN
• Michael Paul Mikulski, MFT
• Geoff Milam, LCSW
• Kelsey Anne Milano, MA, LMFT
• Milava Home Health Care, Inc.

• Psychoanalysis Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Psychoanalysis Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.