Individual provider Active NPI

Ryan Thomas, PH.D.

  • Clinical Psychologist
  • Pasadena, CA
National Provider Identifier
1679821433
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY31026 Issued in CA
Practice address
595 E Colorado Blvd Ste 505
Pasadena, CA 91101-2017
Phone
(626) 578-5585
NPI assigned
Aug 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY31026 CA Primary

Addresses

Primary practice location

595 E Colorado Blvd Ste 505
Pasadena, CA 91101-2017

Mailing address

8605 Santa Monica Blvd PMB 567720
West Hollywood, CA 90069

Other practice location 1

913 E Walnut St
Pasadena, CA 91106-1720
Phone (626) 795-7910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 9, 2025 through May 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY31026CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Growthbound Psychological Services, PC CurrentSince Aug 25, 2024 Accepting new patients
Andrea Davis, PH.D., Clinical Psychology, Inc. Clinical Past Accepting new patients

Locations

595 E Colorado Blvd
Ste 505
Pasadena, CA 91101
Phone (626) 578-5585

8605 Santa Monica Blvd
West Hollywood, CA 90069

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1679821433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 SANTA MONICA BLVD PMB 567720",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 505",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012017",
            "telephone_number": "626-578-5585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "913 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911061720",
            "country_code": "US",
            "telephone_number": "626-795-7910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.