Organization Active NPI

Michele Thomason, PH.D.

  • Clinical Psychologist
  • Stockton, CA
National Provider Identifier
1902359722
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY21141 Issued in CA
Legal business name
MICHELE THOMASON, PH.D.
Practice address
1111 W Robinhood Dr Ste D
Stockton, CA 95207-5626
Phone
(209) 595-9735
NPI assigned
Jul 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Dr. Michele Thomason, PH.D.
Title
Clinical Psychologist
Phone
(209) 595-9735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY21141 CA Primary

Addresses

Primary practice location

1111 W Robinhood Dr Ste D
Stockton, CA 95207-5626

Mailing address

1111 W Robinhood Dr Ste D
Stockton, CA 95207-5626

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1902359722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W ROBINHOOD DR STE D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W ROBINHOOD DR STE D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075626",
            "telephone_number": "209-595-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE THOMASON, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "THOMASON",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "209-595-9735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.