Active NPI
Rebecca Ann Thomas, PSYD
- Clinical Psychologist
- Albia, IA
National Provider Identifier
1922076678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001135
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010196621 | Medicaid | VA |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001135 | IA | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.