Lijon Antoinette Thomas

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

41513 Issued in CA

Practice address

240 Edmonds Rd., Building D
Redwood City, CA 94062-3813

Phone

(310) 221-6336

NPI assigned

Dec 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1902564172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 EDMONDS RD., BUILDING D",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940623813",
            "telephone_number": "310-221-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 EDMONDS RD., BUILDING D",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940623813",
            "telephone_number": "310-221-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LIJON",
        "middle_name": "ANTOINETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "41513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORDILLERAS MHRC",
            "identifier": "41513",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Wise Mind Institute, a Psychological Corporation
• Mary Gabrielle Thodas, DDS, MSD
• Penny Thomas-Proctor, LMFT
• Benoy Joseph Thomas, MD
• Crystal Ladonna Thomas, MASSAGE THERAPIST
• Rohin Onnittan Thomas, MD
• Amanda Grove Thompson
• Kelsey Thompson, RN
• James Johnston Thomson, BS, CATC, CERT ED
• Kai Thornton

• Licensed Psychiatric Technician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.