Individual provider Active NPI

Lorraine Abaro Thomas, PSYD, DRPH

  • Clinical Psychologist
  • Redlands, CA
National Provider Identifier
1902378458
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY30267 Issued in CA
Practice address
1221 Calle de Barranca
Redlands, CA 92373-6510
Phone
(909) 255-2860
Fax
(909) 796-0027
NPI assigned
Dec 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Psychologist 103TH0004X PSY30267 CA
Obesity Medicine (Preventive Medicine) Physician 2083B0002X PSY30267 CA
Clinical Psychologist 103TC0700X PSY30267 CA Primary

Addresses

Primary practice location

1221 Calle de Barranca
Redlands, CA 92373-6510

Mailing address

1508 Barton Rd # 186
Redlands, CA 92373-1410
Phone (909) 255-2860

Other identifiers 1

IdentifierTypeStateIssuer
1083233977OtherGROUP NPI # FOR THOMAS PSYCHOLOGY GROUP PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191202002442 CA Practitioner - Clinical Psychologist 9032542261 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Redlands, CA 92373
Phone (909) 255-2860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY30267CAMDObesity Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm CurrentSince Nov 16, 2019 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Nov 16, 2019 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Sud Specialty Group - Ca CurrentSince Sep 1, 2025 Accepting new patients
Leibow Psychology Group, PC Clinical PastSince Mar 1, 2020 Accepting new patients

Locations

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 6

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": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1902378458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 BARTON RD # 186",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923731410",
            "telephone_number": "909-255-2860",
            "fax_number": "909-796-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 CALLE DE BARRANCA",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736510",
            "telephone_number": "909-255-2860",
            "fax_number": "909-796-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LORRAINE",
        "middle_name": "ABARO",
        "name_prefix": "Dr.",
        "credential": "PSYD, DRPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2022-02-22",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "PSY30267",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "CA",
            "license": "PSY30267",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI # FOR THOMAS PSYCHOLOGY GROUP PC",
            "identifier": "1083233977",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.