Individual provider Active NPI

Cheryl Thomas, PSY.D.

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1699729871
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
015403-1 Issued in NY
Practice address
405 Carlton Ave
Brooklyn, NY 11238-1510
Phone
(718) 789-6262
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 015403-1 NY Primary

Addresses

Primary practice location

405 Carlton Ave
Brooklyn, NY 11238-1510

Mailing address

1 Old Country Rd
Suite 271
Carle Place, NY 11514-1801
Phone (800) 725-6280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040629001707 NY Practitioner - Clinical Psychologist 3476539354 Reassigns benefits to 4 organizations
I20200915001560 NJ Practitioner - Clinical Psychologist 3476539354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Care Therapy LLCGroup PAC ID 0547335366, 140 clinicians

Practice addresses (Care Compare)

85 Crescent Ave
Passaic, NJ 07055-2437
Phone (973) 264-0023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015403-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Knapp Street Psychiatry, PC Clinical CurrentSince May 10, 2020 Accepting new patients
Hospitalist Healthcare Services PLLC Clinical CurrentSince May 14, 2014 Accepting new patients
Hospitalist Healthcare Services PLLC Current Accepting new patients
Senior Care Therapy Psychology of New York PLLC Clinical CurrentSince Apr 1, 2023 Accepting new patients
Senior Care Therapy LLC Clinical CurrentSince Apr 1, 2023 Accepting new patients
NJ Behavioral Health Services PC Clinical CurrentSince Aug 1, 2020 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900

111 E 210th St
Bronx, NY 10467

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

303 Merrick Rd
Ste 204
Lynbrook, NY 11563

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

11030 221st St
Queens Vlg, NY 11429
Phone (631) 332-0686

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Organizations & group practices 7

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699729871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD COUNTRY RD",
            "address_2": "SUITE 271",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141801",
            "telephone_number": "800-725-6280",
            "fax_number": "800-725-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CARLTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381510",
            "telephone_number": "718-789-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHERYL",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015403-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.