Nicole Thorn

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY26326 Issued in CA

Legal business name

NICOLE THORN

Practice address

4647 Long Beach Blvd
Ste A4
Long Beach, CA 90805-6975

Phone

(562) 257-6627

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Thorn, PH.D.

Title

Licensed Psychologist

Phone

(562) 257-6627

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1932597341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 JOSIE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151512",
            "telephone_number": "562-257-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 LONG BEACH BLVD",
            "address_2": "STE A4",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908056975",
            "telephone_number": "562-257-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE THORN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "THORN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "562-257-6627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elijah Nicolas
• Leyla Guadalupe Nicolas
• Michael Mark Nicolas
• Kevin Adam Nicolau
• Nicole Abadi, Marriage and Family Therapist, Inc
• Jerod Nielsen
• Sherri Nielsen, PSY.D.
• Tiffany Kim Nielsen, MSN, FNP-C, RN
• Kaylynn Isabella Nieto
• Fabiola Nieves

• Clinical Psychologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.