Thomas M Allen, PSYD, HSPP

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

20042166 Issued in IN

Practice address

1700 Lincolnway PL Ste 8
La Porte, IN 46350-3194

Phone

(219) 898-5645

Fax

(219) 325-0855

NPI assigned

Oct 14, 2005

Last updated

Jun 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 5

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.

• Amalie B Hickman, LCSW

  • Clinical Social Worker
  • South Bend, IN
  • NPI 1295917656
  Medicare reassignment
• Christine Marie Maddox, F.N.P.

  • Family Nurse Practitioner
  • Michigan City, IN
  • NPI 1063483642
  Medicare reassignment
• Rachael Manney, LCSW

  • Clinical Social Worker
  • La Porte, IN
  • NPI 1285686634
  Medicare reassignment
• Tina Marie Pierce, NP

  • Family Nurse Practitioner
  • La Porte, IN
  • NPI 1114576154
  Medicare reassignment
• Alissa Lynn Sykora, LCSW, CCM

  • Clinical Social Worker
  • Valparaiso, IN
  • NPI 1780883538
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psych Consults

  • Clinical Psychologist
  • La Porte, IN
  • NPI 1174899488
  NPD (past) Authorized official
• Intrigue Counseling, Inc

  • Clinical Social Worker
  • South Bend, IN
  • NPI 1841248754
  NPD (past)
• Maple City Medical LLC

  • Family Nurse Practitioner
  • La Porte, IN
  • NPI 1407709116
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1972592798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 LINCOLNWAY PL STE 8",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503194",
            "telephone_number": "219-898-5645",
            "fax_number": "219-325-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 LINCOLNWAY PL STE 8",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503194",
            "telephone_number": "219-898-5645",
            "fax_number": "219-325-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "PSYD, HSPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042166A",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IL",
            "license": "071.007397",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IN",
            "license": "20042166A",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IN",
            "license": "20042166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200882550A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Alderink, DO
• Clayton Bert Alexander, D.O.
• Syed Ibrahim Ali, M.D
• Danielle Allen
• Michael D Allen, M.D.
• Becky Alwood-Wallace, OTR, MHS, CLT
• American Medical Oxygen Sales Corp.
• Anam Cara Stables (Anam Cara Counseling)
• Jeffrey Anderson, M.D., FAEP
• Paula Anderson, MSW

• Health Service Psychologist in La Porte, IN
• Providers in La Porte, IN by specialty
• Health Service Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.