Elaine Angela Thomas, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY002936 Issued in GA

Practice address

324 Lawrence St NE
Marietta, GA 30060-2057

Phone

(770) 790-0773

Fax

(888) 972-4898

NPI assigned

Apr 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Elaine a Thomas PSYD LLC

  • Clinical Child & Adolescent Psychologist
  • Marietta, GA
  • NPI 1447584578

  Cognitive & Behavioral

  NPD (past) Authorized official
• Triad Ep, PC

  • Clinical Social Worker
  • Marietta, GA
  • NPI 1386806412
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1881869972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 LAWRENCE ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602057",
            "telephone_number": "770-790-0773",
            "fax_number": "888-972-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 LAWRENCE ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602057",
            "telephone_number": "770-790-0773",
            "fax_number": "888-972-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ELAINE",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "GA",
            "license": "PSY002936",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "PSY002936",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher M Thomas, MMS
• Dana Patrice Thomas, DMD
• Dawn Michelle Thomas, DC
• Devon Thomas, RBT
• Edd Dean Thomas, M.D.
• Elizabeth Ann Thomas, LPC
• Jared Thomas
• Jessica Je'Nae Thomas, NP
• John Dereck Thomas Jr., BS
• Julia Thomas

• Clinical Psychologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.