Active NPI
Thomas Paul Swales, PH.D.
- Clinical Neuropsychologist
- Beachwood, OH
National Provider Identifier
1922091768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 4734
- Practice address
- 25101 Chagrin Boulevard
Suite 100
Beachwood, OH 44122-5694 - Phone
- (216) 831-6611
- Fax
- (216) 456-8128
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 4734 | OH | Primary |
| Clinical Neuropsychologist | 103G00000X | PY 4822 | FL | |
| Clinical Psychologist | 103TC0700X | 4734 | OH | |
| Clinical Psychologist | 103TC0700X | PY 4822 | FL | |
| Health Service Psychologist | 103TH0100X | PY 4822 | FL | |
| Health Service Psychologist | 103TH0100X | 4734 | OH |
Addresses
Primary practice location
25101 Chagrin Boulevard
Suite 100
Beachwood, OH 44122-5694
Mailing address
22326 Westchester Rd
Shaker Heights, OH 44122-2971
Phone (216) 751-1804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0948283 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4734 | OH | MD | Clinical Psychologist |
| PY 4822 | FL | MD | Health Service Psychologist |
Interoperability endpoints
- pbc.thomasswales@140094.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399593600000",
"number": "1922091768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22326 WESTCHESTER RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441222971",
"telephone_number": "216-751-1804",
"fax_number": "216-778-8412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25101 CHAGRIN BOULEVARD",
"address_2": "SUITE 100",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225694",
"telephone_number": "216-831-6611",
"fax_number": "216-456-8128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWALES",
"first_name": "THOMAS",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2014-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "OH",
"license": "4734",
"primary": true
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY 4822",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "4734",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 4822",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "FL",
"license": "PY 4822",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "OH",
"license": "4734",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0948283",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.