MS. TINA M THOMAS (NPI# 1376196246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376196246 |
Entity Type | Individual |
Full Name | MS. TINA M THOMAS |
Other Name | TINA M THOMAS |
Credential | INTERVENTION PRO. |
Practice Address |
3800 W Perugia St Apt W204 Meridian ID 83642-4973 |
Practice Telephone | 2088697306 |
Mailing Telephone | 2088697306 |
Enumeration Date | 2019-07-19 |
Last Update Date | 2019-07-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | ID | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | A0003835 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013366053 | Tina Thomas | Nurse Practitioner | 19742 Macarthur Blvd Ste 101, Irvine, CA 92612-2447 | 2016-06-10 |
1811346315 | Tina Thomas | Counselor | 1860 W Glade Creek St, Meridian, ID 83646-4310 | 2016-06-07 |
1538574504 | Tina Thomas | Behavioral Analyst | 4237 Ne 19th St, Oklahoma, OK 73121 | 2014-06-27 |
1659627248 | Tina Thomas | Internal Medicine | 5671 Peachtree Dunwoody Rd Ste 500, Atlanta, GA 30342-5019 | 2012-08-01 |
1093075525 | Tina Nanette Thomas | Specialist | 440 Ne 66th Ave, Portland, OR 97213-5026 | 2012-05-17 |
1619104213 | Tina Theresa Thomas | Surgery | 20 Prospect Ave Ste 408, Hackensack, NJ 07601-1941 | 2009-06-22 |
1689698243 | Tina L Thomas | Nurse Practitioner | 2500 W Pleasant Run Rd, Suite 100, Lancaster, TX 75146-1170 | 2006-07-27 |
1922646561 | Tina Thomas | Counselor | 8080 Independence Pkwy Ste 200, Plano, TX 75025-4002 | 2019-12-13 |
1295378214 | Tina Baby Thomas | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2019-10-22 |
1043866841 | Tina Thomas | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-08-16 |
Street Address |
3800 W PERUGIA ST APT W204 |
City | MERIDIAN |
State | ID |
Zip Code | 83642-4973 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
Find all providers in zip 83642 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023483211 | The Family Table, Inc. | Community/Behavioral Health | 1005 E Franklin Rd, Meridian, ID 83642-5951 | 2015-12-14 |
1972987543 | Maitri Community Services | Community/Behavioral Health | 3709 N Locust Grove Rd, Suite 100, Meridian, ID 83646-6449 | 2015-07-14 |
1417210154 | Langston Jett Enterprises, LLC | Community/Behavioral Health | 3512 36th Ave, Meridian, MS 39307-3603 | 2012-06-18 |
1689989816 | Preferred Community Homes, LLC | Community/Behavioral Health | 440 W Pennwood St Ste 200, Meridian, ID 83642-8602 | 2010-08-12 |
1619293222 | Access Living | Community/Behavioral Health | 690 S Industry Way Ste 45, Meridian, ID 83642-7907 | 2010-04-08 |
1992035364 | Mountain View Behavioral Health, Pllc | Community/Behavioral Health | 3138 W Mirage Ct, Meridian, ID 83646-4127 | 2010-01-07 |
1316272248 | Journey Mental Health | Community/Behavioral Health | 2525 N Stokesberry Pl Ste A, Meridian, ID 83646-1144 | 2009-10-09 |
1912136466 | Adams Center for Counseling LLC | Community/Behavioral Health | 2525 N Stokesberry Pl, Suite A, Meridian, ID 83646-1502 | 2009-07-06 |
1851413314 | Inroads Inc. | Community/Behavioral Health | 3288 E Pine Ave, Meridian, ID 83642 | 2007-04-04 |
1013055532 | Best of Both Worlds Addiction Center, Inc. | Community/Behavioral Health | 8364 Ham Rd, Meridian, MS 39305-9440 | 2007-02-05 |
Find all providers in MERIDIAN |
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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.