Active NPI
Thomas E Myer, PSY.DPA
- Clinical Psychologist
- Pensacola, FL
National Provider Identifier
1841285079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY3931
- Practice address
- 2191 E Johnson Ave
Pensacola, FL 32514-6029 - Phone
- (850) 494-3917
- Fax
- (850) 494-3960
- NPI assigned
- Sep 14, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9101805 | FL | |
| Clinical Psychologist | 103TC0700X | PY3931 | FL | Primary |
Addresses
Primary practice location
2191 E Johnson Ave
Pensacola, FL 32514-6029
Mailing address
2191 E Johnson Ave
Pensacola, FL 32514-6029
Phone (850) 494-3917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291146900 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | THOMAS.MYER@hca5.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY3931 | FL | MD | Clinical Psychologist |
Interoperability endpoints
- thomas.myer@hca5.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1841285079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2191 E JOHNSON AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146029",
"telephone_number": "850-494-3917",
"fax_number": "850-494-3960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2191 E JOHNSON AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146029",
"telephone_number": "850-494-3917",
"fax_number": "850-494-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYER",
"first_name": "THOMAS",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "PSY.DPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9101805",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY3931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "291146900",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "THOMAS.MYER@hca5.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "2191 E Johnson Ave",
"city": "Pensacola",
"state": "FL",
"country_code": "US",
"postal_code": "325146029",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.