MS. KELLY ANN THOMAS (NPI# 1437442928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437442928 |
| Entity Type | Individual |
| Full Name | MS. KELLY ANN THOMAS |
| Credential | PHD |
| Practice Address |
4935 W Arlington Rd Bloomington IN 47404-1187 |
| Mailing Address |
Po Box 1329 Bloomington IN 47402-1329 |
| Practice Telephone | 8123533800 |
| Practice Fax Number | 8123533770 |
| Mailing Telephone | 8123533087 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2015-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
20042882A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144782970 | Kelly L Thomas | Pediatrics | 10011 Ink Wells Dr, San Antonio, TX 78250-7011 | 2019-04-01 |
| 1295217909 | Kelly Thomas | Counselor | 293 Wilson St Fl 3, Manchester, NH 03103-5021 | 2018-08-30 |
| 1831448430 | Kelly Marie Thomas | Clinic/Center | 4877 Mission Street, San Francisco, CA 94112 | 2012-08-29 |
| 1942573324 | Kelly Ann Thomas | Health Educator | 2203 Alvin Ave, Baltimore, MD 21228-4731 | 2012-02-16 |
| 1275838302 | Kelly Marie Thomas | Nurse Practitioner | 300 Keisler Dr Ste 204, Cary, NC 27518-7083 | 2011-01-21 |
| 1194952440 | Kelly Elizabeth Thomas | Speech-Language Pathologist | 1106 E Santa Clara St, Ventura, CA 93001-3177 | 2009-06-14 |
| 1932334471 | Kelly Chirstine Thomas | Massage Therapist | 4430 Tropical Dr, Panama City, FL 32404-5201 | 2009-05-28 |
| 1356509111 | Kelly Thomas | Speech-Language Pathologist | 2811 W Huntsville Ave, Springdale, AR 72762-7736 | 2008-05-29 |
| 1790973196 | Kelly Latreece Thomas | Internal Medicine | 526 Kingwood Dr # 113, Kingwood, TX 77339-4473 | 2007-10-10 |
| 1508068347 | Kelly R. Thomas | Dentist | 12575 Sw 3rd St, Beaverton, OR 97005-0517 | 2007-06-04 |
| Street Address |
4935 W ARLINGTON RD |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-1187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430805 | Elda H Simpson | Pediatrics | 4935 W Arlington Rd, Bloomington, IN 47404-1187 | 2005-07-08 |
| 1932535424 | Ashlyn Rose Andrews | Speech-Language Pathologist | 4935 W Arlington Rd, Bloomington, IN 47404 | 2013-09-17 |
| 1952693822 | Amy Ruth Ratliff Kessens | Pediatrics | 4935 W Arlington Rd, Bloomington, IN 47404-1187 | 2011-05-10 |
| 1770890568 | Vickie L Vandeventer | Nurse Practitioner | 4935 W Arlington Rd, Bloomington, IN 47404-1187 | 2010-09-01 |
| 1144439845 | John D. Wrasse | Pediatrics | 4935 W Arlington Rd, Bloomington, IN 47404-1187 | 2007-05-21 |
| 1306903414 | Naomi Pickholtz | Psychologist | 4935 W Arlington Rd, Bloomington, IN 47404-1187 | 2007-01-02 |
| 1497866420 | Jason Harold Simmonds | Pediatrics | 4935 W Arlington Rd, Bloomington, IN 47404-1187 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
| Find all providers in zip 47404 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962993063 | Nicole C Allen | Psychologist | 595 W Edge Trl Apt O, Avon, IN 46123-6841 | 2018-05-24 |
| 1720436488 | Youth Opportunity Center | Psychologist | 103 W County Road 100 N, New Castle, IN 47362-8965 | 2016-06-02 |
| 1528449964 | Leroy Burgess | Psychologist | 300 S Saint Louis Blvd Ste 202, South Bend, IN 46617-3044 | 2015-06-11 |
| 1144555855 | Paula A. Neuman | Psychologist | 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 | 2009-10-14 |
| 1942491600 | Dixie J Pederson | Psychologist | 2 N 19th St, Lafayette, IN 47904-2950 | 2007-08-07 |
| 1285839480 | Center for Brief Therapy PC | Psychologist | 423 Airport N. Office Park, Ft. Wayne, IN 46825-6704 | 2007-06-18 |
| 1376600767 | Bart Ferraro | Psychologist | 2011 N Meridian St, Indianapolis, IN 46202-1305 | 2007-01-03 |
| 1326125998 | Mary Wollitz Dooley | Psychologist | 7125 E Us Hwy 36, Avon, IN 46123 | 2006-11-01 |
| 1235247396 | Linda Ohlsen Ferreira | Psychologist | 23 East 39th Street, Indianapolis, IN 46205-2645 | 2006-08-29 |
| 1497798284 | Victory Clinical Services II LLC | Psychologist | 4218 W Western Ave, South Bend, IN 46619-2622 | 2006-06-13 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
Please comment or provide details below to improve the information on MS. KELLY ANN THOMAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.