Active NPI
Jason Thomas, LEP
- School Psychologist
- Los Angeles, CA
National Provider Identifier
1851609812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3167
- Practice address
- 6210 Wilshire Blvd
207
Los Angeles, CA 90048-5105 - Phone
- (323) 702-2706
- NPI assigned
- Sep 23, 2010
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3167 | CA | Primary |
Addresses
Primary practice location
6210 Wilshire Blvd
207
Los Angeles, CA 90048-5105
Mailing address
12211 Laurel Terrace Dr
Studio City, CA 91604-3608
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 |
|---|---|---|---|
| 3167 | CA | MD | Acute Care Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285200000000",
"number": "1851609812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12211 LAUREL TERRACE DR",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916043608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6210 WILSHIRE BLVD",
"address_2": "207",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485105",
"telephone_number": "323-702-2706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JASON",
"credential": "LEP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-23",
"last_updated": "2010-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "3167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.