Individual provider Active NPI

Mark Thomas, PHD

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1891595005
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS020420 Issued in PA
Practice address
750 Washington Rd Ste 19
Pittsburgh, PA 15228-2052
Phone
(412) 298-2103
NPI assigned
Mar 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS020420 PA Primary

Addresses

Primary practice location

750 Washington Rd Ste 19
Pittsburgh, PA 15228-2052

Mailing address

750 Washington Rd Ste 19
Pittsburgh, PA 15228-2052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415000041 PA Practitioner - Clinical Psychologist 6901372382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

750 Washington Rd
Suite 19
Pittsburgh, PA 15228-2052
Phone (412) 212-3113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS020420PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Sleep Health LLC Clinical CurrentSince Nov 18, 2025 Accepting new patients

Locations

750 Washington Rd
Ste 19
Pittsburgh, PA 15228
Phone (412) 330-1399

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1891595005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON RD STE 19",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON RD STE 19",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282052",
            "telephone_number": "412-298-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARK",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS020420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.