Active NPI
Paul William Thomas, PH.D.
- Psychologist
- San Francisco, CA
National Provider Identifier
1780997031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY29159
- Practice address
- 1359 Pine St
San Francisco, CA 94109-4807 - Phone
- (415) 673-8405
- NPI assigned
- Jul 15, 2010
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY29159 | CA | Primary |
Addresses
Primary practice location
1359 Pine St
San Francisco, CA 94109-4807
Mailing address
4929 Wilshire Blvd Ste 510
Los Angeles, CA 90010-3820
Other practice location 1
35 Escuela Dr
Daly City, CA 94015-4003
Phone (650) 755-9515
Other practice location 2
1575 7th Ave
San Francisco, CA 94122-3704
Phone (415) 566-1200
Other practice location 3
2043 19th Ave
San Francisco, CA 94116-1253
Phone (415) 661-8787
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29159 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1780997031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4929 WILSHIRE BLVD STE 510",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1359 PINE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941094807",
"telephone_number": "415-673-8405"
}
],
"practiceLocations": [
{
"address_1": "35 Escuela Dr",
"address_purpose": "LOCATION",
"city": "Daly City",
"state": "CA",
"postal_code": "940154003",
"country_code": "US",
"telephone_number": "650-755-9515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1575 7th Ave",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941223704",
"country_code": "US",
"telephone_number": "415-566-1200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2043 19th Ave",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941161253",
"country_code": "US",
"telephone_number": "415-661-8787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "PAUL",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY29159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.