Organization Active NPI

Thomas M Labreche PHD PLLC

  • Clinical Psychologist
  • Spindale, NC
National Provider Identifier
1841738440
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
NC1084 Issued in NC
Legal business name
THOMAS M LABRECHE PHD PLLC
Practice address
487 West St
Spindale, NC 28160-1357
Phone
(828) 395-2510
Fax
(828) 395-2511
NPI assigned
Feb 3, 2017
Last updated
Feb 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Thomas M Labreche, PHDNPI 1245276393
Title
Clinical Psychologist
Phone
(828) 395-2510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NC1084 NC Primary

Addresses

Primary practice location

487 West St
Spindale, NC 28160-1357

Mailing address

PO Box 1741
Rutherfordton, NC 28139-1741
Phone (828) 395-2510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170206000788 NC Part B Supplier - Clinic/Group Practice 2567745169 Receives reassigned benefits from 1 practitioner
Practice locations: Spindale, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1841738440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1741",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281391741",
            "telephone_number": "828-395-2510",
            "fax_number": "828-395-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 WEST ST",
            "city": "SPINDALE",
            "state": "NC",
            "postal_code": "281601357",
            "telephone_number": "828-395-2510",
            "fax_number": "828-395-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M LABRECHE PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "LABRECHE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "828-395-2510",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "NC1084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spindale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.