Patcharapon Thammathorn

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY10001166 Issued in MA

Practice address

126 Prospect St Ste 6
Cambridge, MA 02139-2540

Phone

(617) 583-3269

NPI assigned

Jun 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Looknoo Thammathorn Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Judge Baker Children'S Center

  • Adolescent and Children Mental Health Clinic/Center
  • Boston, MA
  • NPI 1629559059
  NPD

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

{
    "created_epoch": "1655596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1942931241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PROSPECT ST STE 6",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PROSPECT ST STE 6",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392540",
            "telephone_number": "617-583-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMMATHORN",
        "first_name": "PATCHARAPON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-19",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "PSY10001166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOOKNOO",
            "last_name": "THAMMATHORN",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rita K. Teusch, PH.D.
• Candy Jean Texeira
• Shalyn Alexis Texeira, NP
• Michelle Elizabeth Thai, MA
• Marilyn H Thaler
• Damien Thane
• Jane Patricia Thatcher, LICSW
• The Cambridge Health Alliance
• The Cambridge Hospital
• The Center for Cognition and Character PLLC

• Clinical Child & Adolescent Psychologist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Clinical Child & Adolescent Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.