Active NPI
Kathy Lee Thomas, PH.D.
- Clinical Neuropsychologist
- Portland, OR
National Provider Identifier
1952363426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 3634
- Practice address
- 650 NE Holladay St Ste 1600
Portland, OR 97232-2035 - Phone
- (503) 860-0042
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 3634 | AZ | Primary |
Addresses
Primary practice location
650 NE Holladay St Ste 1600
Portland, OR 97232-2035
Mailing address
650 NE Holladay St Ste 1600
Portland, OR 97232-2035
Phone (503) 860-0042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 855306 | Medicaid | AZ |
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 |
|---|---|---|---|
| 3634 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1952363426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 NE HOLLADAY ST STE 1600",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322035",
"telephone_number": "503-860-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 NE HOLLADAY ST STE 1600",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322035",
"telephone_number": "503-860-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KATHY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AZ",
"license": "3634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "855306",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.