DR. THOMAS ALLEN WICKHAM (NPI# 1609918663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609918663 |
| Entity Type | Individual |
| Full Name | DR. THOMAS ALLEN WICKHAM |
| Other Name | THOMAS A WICKHAM |
| Credential | PH.D. |
| Practice Address |
1210 Nevada St Suite101 Redlands CA 92374-2895 |
| Practice Telephone | 9097938312 |
| Practice Fax Number | 9097926507 |
| Mailing Telephone | 9097938312 |
| Mailing Fax Number | 9097926507 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY6128 | CA | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
PSY6128 | CA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY6128 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY6128 | CA | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
PSY6128 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY6128 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
PSY6128 | CA | Behavioral Health & Social Service Providers |
| N | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
PSY6128 | CA | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PSY6128 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295363091 | Thomas Robert Wickham | Student in an Organized Health Care Education/Training Program | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2020-03-29 |
| 1699832121 | Thomas W. Wickham | Counselor | 321 Red Oak Ln, Ingram, TX 78025-3616 | 2007-01-03 |
| 1154372803 | Thomas R. Wickham | Physician Assistant | 100 N Academy Ave, Danville, PA 17822-1335 | 2006-05-15 |
| Street Address |
1210 NEVADA ST SUITE101 |
| City | REDLANDS |
| State | CA |
| Zip Code | 92374-2895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679580641 | Toby S Shaw | Marriage & Family Therapist | 1210 Nevada St, Ste 101, Redlands, CA 92374-2895 | 2006-08-02 |
| 1669682050 | Gunter Reiss | Marriage & Family Therapist | 1210 Nevada St, Suite 101, Redlands, CA 92374-2895 | 2007-05-23 |
| 1659493302 | Munir A Sewani | Psychologist | 1210 Nevada St, Suite 101, Redlands, CA 92374-2895 | 2007-04-04 |
| 1770625212 | Redlands Psychological, Inc. | Psychologist | 1210 Nevada St, Suite101, Redlands, CA 92374-2895 | 2007-02-13 |
| 1255473211 | Terrill Sharon Levinson Wickham | Psychologist | 1210 Nevada St, Suite101, Redlands, CA 92374-2895 | 2007-02-13 |
| 1962577924 | Clifford D. Taylor | Psychologist | 1210 Nevada St, Suite 101, Redlands, CA 92374-2895 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802652 | V Rana Dds Inc | Clinic/Center | 1748 E Lugonia Ave Ste 126, Redlands, CA 92374 | 2018-05-21 |
| 1467979393 | Brianna Ashley Torres | Behavioral Analyst | 1467 Stillman Ave, Redlands, CA 92374 | 2017-08-22 |
| 1851821953 | Veronica Esqueda | Social Worker | 21 Crafton Ct, Redlands, CA 92374 | 2017-06-13 |
| 1053855783 | Caroline Daravi | Psychologist | 1706 Plum Lane #110, Redland, CA 92374 | 2016-12-14 |
| 1487092722 | Kathryn Wheeler | Speech-Language Pathologist | 112 Eleventh Street, Redlands, CA 92374 | 2013-06-10 |
| 1275979254 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 1220 Research Dr, Redlands, CA 92374 | 2013-05-16 |
| 1639515125 | Shantrice Nicole Burton | Speech-Language Pathologist | 1323 W Colton Ave Ste 105, Redlands, CA 92374 | 2013-05-11 |
| 1275898314 | Hrishikesh C Gogineni | Orthopaedic Surgery | 1801 Orange Tree Ln Ste 200, Redlands, CA 92374 | 2012-07-04 |
| 1609168897 | Mina Youssef | Psychiatry & Neurology | 26325 Snowden Ave, Redlands, CA 92374 | 2011-05-06 |
| 1902106545 | Jerrold Edward Hammer | Pharmacist | 422 N Orange St., Redlands, CA 92374 | 2010-10-29 |
| Find all providers in zip 92374 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295081313 | Michael Harlen Crane | Psychologist | 51 West Olive Ave, Redlands, CA 92373 | 2012-07-26 |
| 1992949754 | Redlands Therapy Group | Psychologist | 222 E Olive Ave, Suite 7, Redlands, CA 92373-5268 | 2009-04-23 |
| 1063625036 | Hsinya Chichester | Psychologist | 339 Cajon St Ste B, Redlands, CA 92373-5901 | 2007-05-07 |
| 1154453843 | Joseph P Revetto | Psychologist | 1255 W Colton Ave, Suite 110, Redlands, CA 92374-2861 | 2007-03-09 |
| 1306980982 | Joseph Ralph Ortiz I | Psychologist | 1573 Gold Cup Ct, Redlands, CA 92374-2767 | 2007-02-16 |
| 1033269675 | Kenneth Hutchins | Psychologist | 47 1st St, Redlands, CA 92373-4601 | 2007-01-12 |
| 1083728513 | John Austin Davis | Psychologist | 300 E State St, Redlands, CA 92373-5235 | 2006-08-19 |
| 1588671432 | Pat M Beaupre | Psychologist | 511 Brookside Ave, Redlands, CA 92373-4611 | 2006-08-02 |
| 1316968894 | Jennifer Louise Weniger | Psychologist | Loma Linda Behavioral Medicine Center, 1710 Barton Rd., Redlands, CA 72372 | 2006-07-21 |
| 1275565046 | Lafaye Cunningham Sutkin | Psychologist | 537 Cajon St, Redlands, CA 92373-5903 | 2006-07-06 |
| Find all providers in REDLANDS | ||||
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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.