Active NPI
Pamela Thies, PHD
- Psychologist
- Chillicothe, OH
National Provider Identifier
1861809691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6766
- Practice address
- 16149 State RT. 104
Ross Correctional Institution
Chillicothe, OH 45601 - Phone
- (740) 774-7050
- NPI assigned
- Jul 14, 2014
- Last updated
- Jul 14, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6766 | OH | Primary |
Addresses
Primary practice location
16149 State RT. 104
Ross Correctional Institution
Chillicothe, OH 45601
Mailing address
16149 State RT. 104
Ross Correctional Institution
Chillicothe, OH 45601
Phone (740) 774-7050
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6766 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1861809691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16149 STATE RT. 104",
"address_2": "ROSS CORRECTIONAL INSTITUTION",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "45601",
"telephone_number": "740-774-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16149 STATE RT. 104",
"address_2": "ROSS CORRECTIONAL INSTITUTION",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "45601",
"telephone_number": "740-774-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIES",
"first_name": "PAMELA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-14",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "6766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.