Active NPI
Thomas L South, PH.D.
- Psychiatric Hospital
- Dayton, OH
National Provider Identifier
1699863779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- 4117
- Practice address
- 2611 Wayne Ave
Dayton, OH 45420-1833 - Phone
- (937) 258-0440
- Fax
- (937) 258-6203
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 4117 | OH | Primary |
Addresses
Primary practice location
2611 Wayne Ave
Dayton, OH 45420-1833
Mailing address
2611 Wayne Ave
Dayton, OH 45420-1833
Phone (937) 258-0440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4117 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699863779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 WAYNE AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454201833",
"telephone_number": "937-258-0440",
"fax_number": "937-258-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 WAYNE AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454201833",
"telephone_number": "937-258-0440",
"fax_number": "937-258-6203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTH",
"first_name": "THOMAS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "OH",
"license": "4117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
- South Community Inc.
- South Dayton Acute Care Consultants, Inc
- South Dayton Counseling Center, Inc.
- South Dayton Fammily Dentistry Inc
- South Dayton Oral & Maxillofacial Surgery Inc
- Rochelle Lenore Southard, RN,CDE
- Sage Southers, CDCA
- Wesley Allen Southers, CDCA
- Southview Hospital Pharmacy
- Southview Pathologists, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.