Thomas M Ference, PHD, MPH

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5764 Issued in OH

Practice address

1756 Sagamore Rd
Northfield, OH 44067-1086

Phone

(330) 467-7131

NPI assigned

Sep 20, 2006

Last updated

Jan 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of Ohio Office of Budget and Management State Accounting

  dba Summit Behavioral Healthcare

  • Psychiatric Hospital
  • Cincinnati, OH
  • NPI 1023082716
  NPD
• Psychological Transitions, Inc

  • Clinical Psychologist
  • Port Clinton, OH
  • NPI 1902914278
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1740387745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25000 EUCLID AVE STE 406",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441172645",
            "telephone_number": "216-731-8815",
            "fax_number": "216-731-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 SAGAMORE RD",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440671086",
            "telephone_number": "330-467-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERENCE",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2734894",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy M Ellis-Pearl
• Jamie Lee Emery, ACNP
• Jennifer Erickson
• Stephen William Esdinsky, D.C.
• Quinton DJ Evans, MSOT OTR/L
• Mallory Fisher, LPCC
• Lorrine Flanagan
• Chris V Freeman-Clark, L.I.S.W.
• Laura Gabel
• Jennifer L Gale

• Clinical Psychologist in Northfield, OH
• Providers in Northfield, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.