BRIAN THOMAS, PSY.D. PLLC (NPI# 1972924033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972924033 |
Entity Type | Organization |
Organization Name | BRIAN THOMAS, PSY.D. PLLC |
Practice Address |
144 S Thomas St Ste 103 Room 1 Tupelo MS 38801-5312 |
Practice Telephone | 6622318916 |
Practice Fax Number | 6626207106 |
Mailing Telephone | 6622318916 |
Mailing Fax Number | 6626207106 |
Enumeration Date | 2013-12-16 |
Last Update Date | 2017-07-19 |
Authorized Official Name | DR. BRIAN THOMAS (OWNER) |
Authorized Official Telephone | 6626207102 |
Authorized Official Credential | PSY.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 40015 | MS | Behavioral Health & Social Service Providers |
Street Address |
144 S THOMAS ST STE 103 ROOM 1 |
City | TUPELO |
State | MS |
Zip Code | 38801-5312 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942248208 | Joseph Morris Alexander | Psychologist | 144 S Thomas St, Ste 104a, Tupelo, MS 38801-5312 | 2006-06-02 |
1356749709 | Joy Johnson Counseling | Counselor | 144 S Thomas St, Ste 104a, Tupelo, MS 38801-5312 | 2014-12-17 |
1538419718 | Gilbert's Hospice Care, LLC | Hospice Care, Community Based | 144 S Thomas St, Suite 105, Tupelo, MS 38801-5337 | 2012-09-14 |
1619178100 | Ms Pmr & Pmc, Pllc | Physical Medicine & Rehabilitation | 144 S Thomas St, Building 1, Suite 101-2, Tupelo, MS 38801-5312 | 2007-05-30 |
1598883266 | Bruce Edward Porter | Physical Medicine & Rehabilitation | 144 S Thomas St, Building Number 1 Suite 101-2, Tupelo, MS 38801-5312 | 2007-03-27 |
1184792160 | Gerry Bowen Green | Dentist | 144 S Thomas St, Tupelo, MS 38801-5312 | 2006-11-30 |
1295845832 | Susan Fretwell Garner | Nurse Practitioner | 144 S Thomas St, Tupelo, MS 38801-5312 | 2006-08-30 |
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 |
---|---|---|---|---|
1720022973 | William Brian Thomas | Clinical Neuropsychologist | 144 S Thomas St Ste 104a, Tupelo, MS 38801-5337 | 2006-06-16 |
1285614370 | Samuel E. Fleming IIi | Clinical Neuropsychologist | 211 N Madison St, Tupelo, MS 38804-3807 | 2006-01-17 |
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 |
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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.