NPIMap

Organization Active NPI

Rick D. Thomas, PH.D. LLC

  • Clinical Psychologist
  • Belton, MO
National Provider Identifier
1932296142
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
R0411 Issued in MO
Legal business name
RICK D. THOMAS, PH.D. LLC
Practice address
409 N Scott Ave
Belton, MO 64012-2035
Phone
(816) 331-0374
Fax
(816) 331-1070
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rick D. Thomas, PH.D.NPI 1326004771
Title
Licensed Psychologist
Phone
(816) 331-0374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X R0411 MO Primary

Addresses

Primary practice location

409 N Scott Ave
Belton, MO 64012-2035

Mailing address

409 N Scott Ave
Belton, MO 64012-2035
Phone (816) 331-0374

Other identifiers 7

IdentifierTypeStateIssuer
R0411OtherMOMO STATE LICENSE #
25723021OtherMOINDIVIDUAL PROVIDER NUMBE
149052OtherMOVALUE OPTIONS PROVIDER #
2018341OtherMOCIGNA PROVIDER NUMBER
$$$$$$$$$OtherMOSOCIAL SECURITY NUMBER
37107016OtherMOBCBS GROUP PROVIDER NUMBE
6166639OtherMOUNITED BEHAVIORAL HEALTH

National Provider Directory

National Provider Directory

Locations

409 N Scott Ave
Belton, MO 64012
Phone (816) 331-0374

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932296142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N SCOTT AVE",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122035",
            "telephone_number": "816-331-0374",
            "fax_number": "816-331-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N SCOTT AVE",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122035",
            "telephone_number": "816-331-0374",
            "fax_number": "816-331-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK D. THOMAS, PH.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "816-331-0374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "R0411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO STATE LICENSE #",
            "identifier": "R0411",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NUMBE",
            "identifier": "25723021",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER #",
            "identifier": "149052",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "2018341",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER NUMBE",
            "identifier": "37107016",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6166639",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.