Active NPI
Michael Thomas, PSY.D.
- Psychologist
- Ardmore, PA
National Provider Identifier
1770913568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS017235
- Practice address
- 830 Cricket Ave
Apt B
Ardmore, PA 19003-2035 - Phone
- (610) 724-3505
- NPI assigned
- Nov 15, 2013
- Last updated
- Nov 15, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS017235 | PA | Primary |
Addresses
Primary practice location
830 Cricket Ave
Apt B
Ardmore, PA 19003-2035
Mailing address
830 Cricket Ave
Apt B
Ardmore, PA 19003-2035
Phone (610) 724-3505
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384473600000",
"number": "1770913568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 CRICKET AVE",
"address_2": "APT B",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190032035",
"telephone_number": "610-724-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 CRICKET AVE",
"address_2": "APT B",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190032035",
"telephone_number": "610-724-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-15",
"last_updated": "2013-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS017235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, PA
- Makalay Samuella Tarawally, LPC
- Teleradiology Solutions PC
- Peggy Marie Tew, C.M.T.
- The Center for ADHD
- The Center for Hope and Health LLC
- Kimberly Ann Timmons, D.C.
- Richard Titlebaum, D.M.D.
- Laurie Tolin, MD
- P Andrew Trentacoste, PSYD MBA
- Trifecta Comprehensive Care Services LLC (HomeWell Care Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.