Organization Active NPI

Dr. Paula J. Thomas, PC

  • Clinical Psychologist
  • Southfield, MI
National Provider Identifier
1700061397
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301003342 Issued in MI
Legal business name
DR. PAULA J. THOMAS, PC
Practice address
17515 W 9 Mile Rd
Suite 975
Southfield, MI 48075-4403
Phone
(248) 557-3030
Fax
(248) 557-4214
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Dr. Paula J. Thomas, PH.D.
Title
President/Ceo
Phone
(248) 557-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301003342 MI Primary

Addresses

Primary practice location

17515 W 9 Mile Rd
Suite 975
Southfield, MI 48075-4403

Mailing address

17515 W 9 Mile Rd
Suite 975
Southfield, MI 48075-4403
Phone (248) 557-3030

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1700061397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD",
            "address_2": "SUITE 975",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754403",
            "telephone_number": "248-557-3030",
            "fax_number": "248-557-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD",
            "address_2": "SUITE 975",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754403",
            "telephone_number": "248-557-3030",
            "fax_number": "248-557-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PAULA J. THOMAS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "248-557-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301003342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.