Active NPI
Adair Thomas
- School Psychologist
- Jamaica, NY
National Provider Identifier
1790110062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1179661
- Practice address
- 175-39 Dalny Road
3D
Jamaica, NY 11432 - Phone
- (718) 291-1619
- NPI assigned
- Sep 5, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1179661 | NY | Primary |
Addresses
Primary practice location
175-39 Dalny Road
3D
Jamaica, NY 11432
Mailing address
175-39 Dalny Road
3D
Jamaica, NY 11432
Phone (718) 291-1619
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1179661 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1790110062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175-39 DALNY ROAD",
"address_2": "3D",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "718-291-1619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175-39 DALNY ROAD",
"address_2": "3D",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "718-291-1619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ADAIR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "1179661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.