Patrick Shane Thomas Jr Jr., MD, PHD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R1464 Issued in TX

Practice address

929 Gessner Rd Ste 2000
Houston, TX 77024

Phone

(713) 973-1007

Fax

(713) 973-0104

NPI assigned

Mar 25, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 2, 2016 through Mar 2, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Memorial Psychiatry PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houston, TX
  • NPI 1699521138
  NPD

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1881836682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 GESSNER RD STE 2000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242853",
            "telephone_number": "713-973-1007",
            "fax_number": "713-973-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 GESSNER RD STE 2000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "713-973-1007",
            "fax_number": "713-973-0104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12301 Main St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770356207",
            "country_code": "US",
            "telephone_number": "713-275-5400",
            "fax_number": "713-275-5109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "929 Gessner Rd Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77024",
            "country_code": "US",
            "telephone_number": "713-973-1007",
            "fax_number": "713-973-0104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS JR",
        "first_name": "PATRICK",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-25",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A115559",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R1464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881836682",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Bui, O.D., P.C.
• Thomas C. Inman, Jr., D.D.S. & Associates, PLLC
• Thomas Care Homes LLC
• Thomas FP, PLLC
• Thomas Helping Hands, LLC
• Thomas Kasper Counseling LLC
• Thomas L Davies MD PA
• Thomas L Stevens, Inc
• Reena Thomas Mohan
• Thomas R. O'Brien, DDS, Inc.

• Psychiatry Physician in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.