Active NPI
Daniel Anthony Thomas Jr., PSYD
- Clinical Psychologist
- Alpharetta, GA
National Provider Identifier
1720163504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001851
- Practice address
- 3594 Old Milton Pkwy
Alpharetta, GA 30005-4465 - Phone
- (770) 664-5353
- Fax
- (770) 664-5359
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 001851 | GA | Primary |
Addresses
Primary practice location
3594 Old Milton Pkwy
Alpharetta, GA 30005-4465
Mailing address
3594 Old Milton Pkwy
Alpharetta, GA 30005-4465
Phone (770) 664-5353
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001851 | GA | MD | Clinical Psychologist |
| 1851 | GA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486339200000",
"number": "1720163504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3594 OLD MILTON PKWY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054465",
"telephone_number": "770-664-5353",
"fax_number": "770-664-5359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3594 OLD MILTON PKWY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054465",
"telephone_number": "770-664-5353",
"fax_number": "770-664-5359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DANIEL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2017-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "001851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.