Brian Thomas Psy D PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

40015 Issued in MS

Legal business name

BRIAN THOMAS PSY D PLLC

Practice address

144 S Thomas St Ste 104a
Tupelo, MS 38801-5337

Phone

(662) 231-8916

Fax

(662) 620-7106

NPI assigned

Dec 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Brian Thomas, PSY.D

Title

Owner

Phone

(662) 620-7102

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Brian Thomas, PSY.D.

  • Clinical Neuropsychologist
  • Tupelo, MS
  • NPI 1720022973
  Medicare reassignment NPD
• Lisa Abstein, LPC

  • Counselor
  • Tupelo, MS
  • NPI 1952451247
  NPD (past)
• Joseph Morris Alexander, PHD

  • Psychologist
  • Tupelo, MS
  • NPI 1942248208
  NPD (past)

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1972924033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S THOMAS ST",
            "address_2": "STE 103 ROOM 1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015312",
            "telephone_number": "662-231-8916",
            "fax_number": "662-620-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S THOMAS ST STE 104A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015337",
            "telephone_number": "662-231-8916",
            "fax_number": "662-620-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN THOMAS PSY D PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-620-7102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MS",
            "license": "40015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breathe LLC
• Mimi Cleveland Breedlove, CRNA
• Charity Brees, NNP-BC
• Ellen Bresee
• Mark Chapin Bresee, MPT, OCS
• Alyssa Bridges
• Zachary Bridges, DPT
• Michelle Gardner Briley, FNP-C
• Steven Lloyd Brister, MD
• Lloyd Perry Britt, O. D.

• Clinical Neuropsychologist in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Clinical Neuropsychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.