WILLIAM BRIAN THOMAS (NPI# 1720022973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720022973 |
| Entity Type | Individual |
| Full Name | WILLIAM BRIAN THOMAS |
| Credential | PSY.D. |
| Practice Address |
144 S Thomas St Ste 104a Tupelo MS 38801-5337 |
| Mailing Address |
144 S Thomas St Ste 104a Tupelo MS 38801 |
| Practice Telephone | 6622318916 |
| Practice Fax Number | 6622598479 |
| Mailing Telephone | 6622318916 |
| Mailing Fax Number | 6622598479 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2017-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 40015 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 2476081 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801358163 | William Wayne Thomas II | Nurse Practitioner | 2808 Outer Dr, Marion, IL 62959-5207 | 2019-04-04 |
| 1073077962 | William A Thomas | Case Manager/Care Coordinator | 1711 Sylvania Ave., Toledo, OH 43613-4361 | 2019-01-25 |
| 1780157347 | William Thomas | Counselor | 30835 W 10 Mile Rd # 1013, Farmington Hills, MI 48336-2607 | 2019-01-07 |
| 1851768311 | William Douglas Thomas | Counselor | 2900 Erie St S, St Petersburg, FL 33712-3363 | 2015-08-31 |
| 1558600825 | William R. Thomas | Dentist | 9524 Wood Valley Ln, Charlotte, NC 28270-0463 | 2013-02-06 |
| 1730456120 | William J Thomas | Pharmacist | 5748 39th Street Cir E, Bradenton, FL 34203-5500 | 2011-11-29 |
| 1467636308 | William B Thomas | Optometrist | 346 3rd Ave, Gallipolis, OH 45631-1106 | 2007-12-27 |
| 1013190925 | William Hobson Thomas Jr. | Chiropractor | 1805 Ne Whitestone Dr, Lees Summit, MO 64086-5973 | 2007-12-13 |
| 1366633240 | William Dalton Thomas IIi | Dentist | 4503 Us 62, Hillsboro, OH 45133 | 2007-08-06 |
| 1871703835 | William Clark Thomas | Dentist | 5346 Stadium Trace Pkwy Ste 108, Hoover, AL 35244-4583 | 2007-05-22 |
| Street Address |
144 S THOMAS ST STE 104A |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-5337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| 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 |
|---|---|---|---|---|
| 1285614370 | Samuel E. Fleming IIi | Clinical Neuropsychologist | 211 N Madison St, Tupelo, MS 38804-3807 | 2006-01-17 |
| 1972924033 | Brian Thomas, Psy.d. Pllc | Clinical Neuropsychologist | 144 S Thomas St, Ste 103 Room 1, Tupelo, MS 38801-5312 | 2013-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073093894 | Virginia Catherine Persinger | Clinical Neuropsychologist | 1350 E Woodrow Ave, Jackson, MS 39216-5112 | 2018-08-21 |
| 1780963793 | Joy Humphreys Clark | Clinical Neuropsychologist | 1350 E. Woodrow Wilson, Jackson, MS 39216-5112 | 2011-08-08 |
| 1194028555 | Gulf Coast Neuropsychology, LLC | Clinical Neuropsychologist | 16195c Landon Rd, Gulfport, MS 39503-4121 | 2010-12-07 |
| 1871818369 | Brian Heath Gordon | Clinical Neuropsychologist | 357 Towne Center Blvd Ste 403, Ridgeland, MS 39157-4844 | 2010-03-29 |
| 1699968453 | Ethel Wiest Hetrick | Clinical Neuropsychologist | 412 Highway 90, Suite 10, Bay Saint Louis, MS 39520-3534 | 2007-08-23 |
| 1922210103 | Kevin J. Mccarthy | Clinical Neuropsychologist | 415 W Canal St, Picayune, MS 39466-3912 | 2007-05-03 |
| 1518049238 | Andrea Lyn Todd | Clinical Neuropsychologist | 542 Arbor Station Dr, Long Beach, MS 39560-5741 | 2006-10-20 |
| 1124527841 | Clinical & Forensic Neuropsychology Services LLC | Clinical Neuropsychologist | 357 Towne Center Blvd Ste 403, Ridgeland, MS 39157-4844 | 2018-02-08 |
| 1023402047 | Nancy H. Goldman, LLC | Clinical Neuropsychologist | 3000 Old Canton Rd, Suite 465, Jackson, MS 39216-4200 | 2015-03-27 |
| 1952727430 | Racha Fares | Clinical Neuropsychologist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2014-03-08 |
| Find all providers with the same taxonomy | ||||
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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.