Thomas Traumatology Institute

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

6401012784 Issued in MI

Legal business name

THOMAS TRAUMATOLOGY INSTITUTE

Practice address

11825 Dexter Ave
Detroit, MI 48206-1007

Phone

(313) 312-0087

Fax

(313) 447-2277

NPI assigned

Jul 10, 2018

Organization subpart

No

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

Authorized official

Name

Nakpangi Thomas, MS, LPC, NCC, CT, AC

Title

Ceo

Phone

(313) 312-0087

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1760978043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 DEXTER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061007",
            "telephone_number": "313-312-0087",
            "fax_number": "313-447-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 DEXTER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061007",
            "telephone_number": "313-312-0087",
            "fax_number": "313-447-2277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482263130",
            "country_code": "US",
            "telephone_number": "248-499-3399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THOMAS TRAUMATOLOGY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "NAKPANGI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-312-0087",
        "authorized_official_credential": "MS, LPC, NCC, CT, AC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012784",
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MI",
            "license": "6401012784",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6401012784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Thill, MD
• Muthayipalayam C Thirumoorthi, MD
• This Is It Salon & Spa
• Tiffany Thisse, LMSW
• Thomas Knuth MD PA
• Thomas Veraldi, DMD Residency and Hospital Practice, PC
• Keonie Thomas-Russell
• Abin Thomas, RRT
• Alia Ramzah Thomas
• Amber Thomas

• Mental Health Clinic/Center (Including Community Mental Health Center) in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.