DR. RANDALL STEPHEN THOMAS (NPI# 1467590802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467590802 |
| Entity Type | Individual |
| Full Name | DR. RANDALL STEPHEN THOMAS |
| Credential | PH.D. |
| Practice Address |
3 Loockerman Ave Poughkeepsie NY 12601-4905 |
| Practice Telephone | 8454712267 |
| Practice Fax Number | 8608681288 |
| Mailing Telephone | 8454712267 |
| Mailing Fax Number | 8608681288 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 8681-1 | NY | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | 8681-1 | NY | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
8681-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01272-13 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699073908 | Randall B Thomas | Dentist | 2039 Shady Crest Dr, Birmingham, AL 35216-5417 | 2011-03-10 |
| 1083607717 | Randall K. Thomas | Optometrist | 201 Le Phillip Ct, Ne, Concord, NC 28025-2900 | 2005-08-29 |
| 1043633902 | Randall Thomas Jr. | Licensed Psychiatric Technician | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2014-01-29 |
| 1013201417 | Randall Clyde Thomas Jr. | Podiatrist | 3695 N High St, Columbus, OH 43214-3520 | 2011-06-02 |
| 1043357007 | Randall Kent Thomas | Psychologist | 2501 N 74th St, Scottsdale, AZ 85257-1502 | 2007-01-31 |
| 1528142098 | Randall Thomas | Chiropractor | 14441 Memorial Dr, Ste:25, Houston, TX 77079-6744 | 2006-10-24 |
| Street Address |
3 LOOCKERMAN AVE |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922249325 | William H. Hartwig, Ph.d., P.C. | Clinical Neuropsychologist | 12 Davis Avenue, Vassar Professional Building 2 N, Poughkeepsie, NY 12603-2408 | 2009-03-13 |
| 1275673063 | Miriam Browner Lacher | Clinical Neuropsychologist | 47 South Hamilton St, Poughkeepsie, NY 12601 | 2007-02-08 |
| 1578535852 | Ingrid D Hansen | Clinical Neuropsychologist | 115 College Ave, Poughkeepsie, NY 12603-2821 | 2006-02-02 |
| 1255459186 | Marie Louise Dynes | Clinical Neuropsychologist | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2007-03-27 |
| 1770502346 | William Henry Hartwig | Clinical Neuropsychologist | 12 Davis Ave, Poughkeepsie, NY 12603-2408 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408046 | Nassau Neuropsychological Services, Pllc | Clinical Neuropsychologist | 386 S Oyster Bay Rd, Hicksville, NY 11801-3509 | 2020-02-04 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1720633860 | Emily Kurlansik | Clinical Neuropsychologist | 300 W 55th St Apt 6c, New York, NY 10019-5164 | 2019-08-06 |
| 1174181382 | Kayla Whearty | Clinical Neuropsychologist | 1554 Northern Blvd Ste 204, Manhasset, NY 11030-3054 | 2019-06-03 |
| 1447729595 | Beth Krone | Clinical Neuropsychologist | 6818 Bay Cliff Ter, Brooklyn, NY 11220-5114 | 2018-11-19 |
| 1750860144 | Linda Cristina Calderon | Clinical Neuropsychologist | 635 W 165th St Rm 633a, New York, NY 10032-3724 | 2018-08-07 |
| 1366936585 | Nicole Feirsen | Clinical Neuropsychologist | 3307 Bainbridge Ave Fl 1, Bronx, NY 10467-2850 | 2018-06-20 |
| 1306349493 | Abhishek Jaywant | Clinical Neuropsychologist | 525 E 68th St # F-1699g, New York, NY 10065-4870 | 2018-03-14 |
| 1043718505 | Elsa Lee | Clinical Neuropsychologist | 25418 Northern Blvd Ste 3, Little Neck, NY 11362-1451 | 2018-01-30 |
| 1154829000 | Alice Brown Brandwein | Clinical Neuropsychologist | 445 Park Ave Fl 2, New York, NY 10022-8649 | 2018-01-25 |
| Find all providers with the same taxonomy | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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| 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.