MS. TINA M THOMAS


Address: 3800 W Perugia St Apt W204, Meridian, ID 83642-4973
Phone: 2088697306

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health ID Agencies

Other Provider Identifier

State Issuer Identifier Type Code
ID A0003835 05

Other Providers TINA THOMAS

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

Office Location

Street Address 3800 W PERUGIA ST APT W204
City MERIDIAN
State ID
Zip Code 83642-4973

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City MERIDIAN
Zip Code 83642

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Dataset Information

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.

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