Brett W Thomas, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-202236 Issued in ID

Practice address

311 Allumbaugh St
Boise, ID 83704-9208

Phone

(208) 375-6402

Fax

(208) 323-1850

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Mountain States Counseling & Psychological Services PLLL

  • Psychologist
  • Boise, ID
  • NPI 1598959322
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952403552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ALLUMBAUGH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049208",
            "telephone_number": "208-375-6402",
            "fax_number": "208-323-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ALLUMBAUGH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049208",
            "telephone_number": "208-375-6402",
            "fax_number": "208-323-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BRETT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY-202236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "N6274",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "10154748",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael R. Thiry, D.C.
• Robert E Thiry, DC
• Dale Thoman, O.D.
• Kalysta Thomas-May
• Berta Thomas, RN
• Christine Thomas, MS
• Clayton Andrew Thomas, PA-C
• Collin Brett Thomas, DO
• Deanna M Thomas, MSW
• Gregory S Thomas, CRNA

• Clinical Psychologist in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.