MELVIN RUSSELL THOMAS (NPI# 1912985029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912985029 |
| Entity Type | Individual |
| Full Name | MELVIN RUSSELL THOMAS |
| Credential | PHD |
| Practice Address |
7190 Nc Highway 11 Willard NC 28478-7062 |
| Mailing Address |
Po Box 211 Willard NC 28478-0211 |
| Practice Telephone | 9104417080 |
| Practice Fax Number | 9105525006 |
| Mailing Telephone | 9104417080 |
| Mailing Fax Number | 9105525006 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2013-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2926 | NC | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2926 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| EVERCARE | 62-00242 | 01 | |
| NC | BCBS NC | 046EG | 01 |
| NC | 6000679 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457830861 | Melvin Thomas | Dentist | 3215 Souther Green Drive, Pearland, TX 77584 | 2018-08-08 |
| 1992158000 | Melvin Thomas Jr. | Behavioral Analyst | 10611 Anacostia Way, Bakersfield, CA 93311-3214 | 2016-07-13 |
| 1831138346 | Melvin Wilson Thomas | Family Medicine | 4278 Indianola Ave, Columbus, OH 43214-2806 | 2006-06-06 |
| 1891223327 | Melvin Jacob Thomas | Psychiatry & Neurology | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2017-05-29 |
| 1962852327 | Melvin Thomas | Emergency Medicine | 333 Madison St, Joliet, IL 60435 | 2016-06-16 |
| 1811398480 | Melvin Thomas | Pharmacist | 17 W Golf Rd, Des Plaines, IL 60016-2410 | 2014-09-14 |
| 1023025756 | Melvin H. Thomas | Family Medicine | 304 Shorter Ave Nw, Suite 201, Rome, GA 30165-4290 | 2006-08-02 |
| 1902837420 | Melvin W. Thomas | Internal Medicine | 1301 S. Cliff Ave, Ste 400, Sioux Falls, SD 57105-1023 | 2006-07-05 |
| Street Address |
7190 NC HIGHWAY 11 |
| City | WILLARD |
| State | NC |
| Zip Code | 28478-7062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306141718 | Mind of Hope Community Living Program, Inc | Psychologist | 7190 Nc Highway 11, Willard, NC 28478-7062 | 2011-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235773821 | Christian's House of Hope, Inc. | Community/Behavioral Health | 10608 Willard Road, Willard, NC 28478 | 2019-11-06 |
| 1588758296 | Eldo, Inc | Custodial Care Facility | 9020 Willard Road, Willard, NC 28478 | 2006-10-03 |
| 1396768776 | Tri County Community Health Council Inc | Clinic/Center | 5531 Eleanor Roosevelt Lane, Willard, NC 28478 | 2006-07-25 |
| 1396002903 | Nevaeh's Dream Family Home Care | Assisted Living Facility | 2666 Shiloh Rd, Willard, NC 28478-4234 | 2012-04-19 |
| 1770629552 | Christian's House of Hope, Inc. | Community Based Residential Treatment Facility, Mental Illness | 57 Moses Newton Ln, Willard, NC 28478-6417 | 2007-01-29 |
| 1861607616 | Christian's House of Hope Inc | Preferred Provider Organization | 57 Moses Newton Ln, Willard, NC 28478-6417 | 2007-05-14 |
| 1457482051 | Tri County Community Health Council Inc | Clinic/Center | 5531 Eleanor Roosevelt Ln, Willard, NC 28478-6621 | 2007-03-08 |
| 1285083303 | Commwell Health | Dentist | 5531 Eleanor Roosevelt Ln, Willard, NC 28478-6621 | 2016-06-09 |
| 1477902153 | Nataleigh Hitt Plage | Dentist | 5531 Eleanor Roosevelt Ln, Willard, NC 28478-6621 | 2016-06-03 |
| 1124272158 | Joel W Darrah | Dentist | 5531 Eleanor Roosevelt Ln, Commwell Health of Penderlea, Willard, NC 28478-6621 | 2008-11-04 |
| Find all providers in zip 28478 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154345577 | Mercy Health - Willard Hospital LLC | Psychologist | 110 East Howard St, Willard, OH 44890-1611 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338749 | Akaosa Onuma Eleanya | Psychologist | 4413 Wedgewood Dr, Raleigh, NC 27604-5098 | 2020-08-24 |
| 1720698939 | Blue Ridge Behavior Systems Inc | Psychologist | 16147 Lancaster Hwy Ste 110, Charlotte, NC 28277-4196 | 2020-08-03 |
| 1538778584 | Stephanie Goodson | Psychologist | 1638 Lookout Cir, Waxhaw, NC 28173-8085 | 2020-07-27 |
| 1205453388 | Gregory A Welikson, Phd, Pllc | Psychologist | 1334 Daventry Ct, Chapel Hill, NC 27517-9412 | 2020-07-06 |
| 1689297921 | David B Spano | Psychologist | 3205 N Mcdowell St, Charlotte, NC 28205-1552 | 2020-05-21 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1952939811 | A4psychology, Pllc | Psychologist | 596 Executive Pl Ste 201, Fayetteville, NC 28305-5189 | 2020-03-27 |
| 1407487226 | James Francis Skane Jr. | Psychologist | 123 S 29th St, Wilmington, NC 28403-1223 | 2020-01-30 |
| 1932746294 | Lindsay Pulver | Psychologist | 3501 Sherbourne Ln, Greensboro, NC 27405-4964 | 2019-12-05 |
| 1164065827 | Whitney Beth Griffin | Psychologist | 2310 Stinson Drive Ncsu Dept of Psychology 640 Poe Hall, Raleigh, NC 27695-0001 | 2019-10-24 |
| 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.