Individual provider Active NPI

Rebecca Ann Thomas, PSYD

  • Clinical Psychologist
  • Albia, IA
National Provider Identifier
1922076678
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001135 Issued in IA
Practice address
202 A Ave. E.
The Westover Center
Albia, IA 52531
Phone
(641) 932-0111
Fax
(641) 932-0085
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810003371 VA
Clinical Psychologist 103TC0700X 001135 IA Primary

Addresses

Primary practice location

202 A Ave. E.
The Westover Center
Albia, IA 52531

Mailing address

202 A Ave. E.
The Westover Center
Albia, IA 52531
Phone (641) 932-0111

Other identifiers 1

IdentifierTypeStateIssuer
010196621MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20100312000549 IA Practitioner - Clinical Psychologist 6709815772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 A Ave E
Albia, IA 52531-1807
Phone (641) 932-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001135IAMDClinical Psychologist

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1922076678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 A AVE. E.",
            "address_2": "THE WESTOVER CENTER",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "52531",
            "telephone_number": "641-932-0111",
            "fax_number": "641-932-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 A AVE. E.",
            "address_2": "THE WESTOVER CENTER",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "52531",
            "telephone_number": "641-932-0111",
            "fax_number": "641-932-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003371",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "001135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010196621",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albia, IA

Sources for this page

Verify at the official NPI Registry.