Individual provider Active NPI

Sheila L Thomas, PSY. D.

  • Clinical Psychologist
  • Fresno, CA
National Provider Identifier
1689190159
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31752 Issued in CA
Practice address
1300 E Shaw Ave Ste 109
Fresno, CA 93710-7903
Phone
(559) 712-8800
Fax
(559) 712-8805
NPI assigned
Aug 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X
Clinical Psychologist 103TC0700X 31752 CA Primary

Addresses

Primary practice location

1300 E Shaw Ave Ste 109
Fresno, CA 93710-7903

Mailing address

1300 E Shaw Ave Ste 109
Fresno, CA 93710-7903
Phone (559) 712-8800

Other practice location 1

2540 W Shaw Ln Ste 107
Fresno, CA 93711-2700
Phone (559) 256-7631

Other practice location 2

5100 N 6th St Ste 135
Fresno, CA 93710-7506
Phone (559) 930-5565

Other practice location 3

447 N El Molino Ave
Pasadena, CA 91101-1403
Phone (626) 577-8480

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL therapynotes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200814002384 CA Practitioner - Clinical Psychologist 5890110704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A Mind Above a Professional Psychology CorporationGroup PAC ID 1759717978, 5 clinicians

Practice addresses (Care Compare)

1300 E Shaw Ave
Suite 109
Fresno, CA 93710-7903
Phone (559) 712-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31752CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
A Mind Above, a Professional Psychology Corporation Clinical CurrentSince Nov 1, 2021 Accepting new patients

Locations

334 Shaw Ave
Ste 100
Clovis, CA 93612
Phone (559) 454-1819

1300 E Shaw Ave
Ste 109
Fresno, CA 93710
Phone (559) 712-8800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1689190159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E SHAW AVE STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107903",
            "telephone_number": "559-712-8800",
            "fax_number": "559-712-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E SHAW AVE STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107903",
            "telephone_number": "559-712-8800",
            "fax_number": "559-712-8805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 W Shaw Ln Ste 107",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112700",
            "country_code": "US",
            "telephone_number": "559-256-7631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 N 6th St Ste 135",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937107506",
            "country_code": "US",
            "telephone_number": "559-930-5565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "447 N El Molino Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911011403",
            "country_code": "US",
            "telephone_number": "626-577-8480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHEILA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "31752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therapynotes",
            "affiliation": "N",
            "address_1": "1300 E Shaw Ave Ste 109",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937107903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.