NPIMap

Organization Active NPI

Dr. Tre Thomas, Psychologist, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ellenton, FL
National Provider Identifier
1710582010
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DR. TRE THOMAS, PSYCHOLOGIST, PLLC
Practice address
616 Camellia Ave
Ellenton, FL 34222-2438
Phone
(813) 498-9349
Fax
(941) 894-1312
NPI assigned
Dec 3, 2020
Last updated
Dec 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Dr. Trajana Noel Thomas, PSYDNPI 1154578201
Title
Clinical Psychologist
Phone
(813) 498-9349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

616 Camellia Ave
Ellenton, FL 34222-2438

Mailing address

616 Camellia Ave
Ellenton, FL 34222-2438
Phone (813) 498-9349

Other practice location 1

137 S Pebble Beach Blvd Ste 202C
Sun City Center, FL 33573-5708
Phone (813) 498-9349

National Provider Directory

National Provider Directory

Locations

137 S Pebble Beach Blvd
Ste 202C
Sun City Center, FL 33573
Phone (813) 498-9349

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1710582010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 CAMELLIA AVE",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342222438",
            "telephone_number": "813-498-9349",
            "fax_number": "941-894-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 CAMELLIA AVE",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342222438",
            "telephone_number": "813-498-9349",
            "fax_number": "941-894-1312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 S Pebble Beach Blvd Ste 202C",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335735708",
            "country_code": "US",
            "telephone_number": "813-498-9349",
            "fax_number": "941-894-1312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. TRE THOMAS, PSYCHOLOGIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TRAJANA",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "813-498-9349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.