DR. ROSA L THOMAS


Address: 1 Main St # 74, San Quentin, CA 94964-1000
Phone: 7075484968

DR. ROSA L THOMAS (NPI# 1790961860) 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) 1790961860
Entity Type Individual
Full Name DR. ROSA L THOMAS
Other Name DR. ROSA L. THOMAS LAWRENCE
Credential PH.D.
Practice Address 1 Main St # 74
San Quentin
CA 94964-1000
Mailing Address 369b 3rd St # 117
San Rafael
CA 94901-3581
Practice Telephone 7075484968
Mailing Telephone 7075484968
Enumeration Date 2008-01-18
Last Update Date 2020-08-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist PSY20906 CA Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
PSY20906 CA Behavioral Health & Social Service Providers

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Office Location

Street Address 1 MAIN ST # 74
City SAN QUENTIN
State CA
Zip Code 94964-1000

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760636864 Harun Evcimen Psychiatry & Neurology 1 Main St. H-unit Yard Tele Psychiatry, Cdcr San Quetin State Prison, San Quentin, CA 94964 2008-11-17
1790905156 Ucsf Medical Center Nurse Practitioner San Quentin State Prison, San Quentin, CA 94964 2007-04-26
1477613115 Laureen Linda Jang Dentist San Quentin, San Quentin, CA 94964 2006-12-11
1427062660 Elena Tootell Family Medicine Office of The Cmo, San Quentin State Prison, San Quentin, CA 94964 2006-07-27
1205894771 Fouad Kiani Dentist 1 Main St., San Quentin, CA 94964 2006-05-03
1518958743 Bradley Kenneth Deal Psychiatry & Neurology 13 Main St., San Quentin Prison, San Quentin, CA 94964 2005-11-05
1104373570 Jane Lovelle Social Worker San Quentin State Prison, San Quentin, CA 94964 2016-09-02
1780049213 Patricia Sweeny Toboni Speech-Language Pathologist 64 Main Street, #2 Rear Bldg., San Quentin, CA 94964 2015-12-29
1144621368 Eric Monthei Psychologist San Quentin State Prison, San Quentin, CA 94964 2014-09-08
1720408859 Yan Chan Student in an Organized Health Care Education/Training Program 1 Main St, San Quentin, CA 94964 2014-04-16
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851704027 Erica Haines Psychologist 1 Main St, San Quentin, CA 94964-1000 2014-06-05
1780012914 Reyna Downey Psychologist 1 Main St, San Quentin, CA 94964-1000 2013-10-25
1881036929 Reina Lorine Fong Psychologist 1 Main St, San Quentin, CA 94964-1000 2013-07-17
1518308741 Evelyn G Spricktovar Psychologist 1 Main St, San Quentin, CA 94964-1000 2013-07-16
1205182300 Ashley Mowrey Psychologist 1 Main St, San Quentin, CA 94964 2012-07-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164023867 Watson, Sanchez, & Navarro Psychological Group Psychologist 270 E 7th St Ste 1c, Upland, CA 91786-6602 2020-11-08
1558962324 Marjan-marcia Khalitchi-alavi Psychologist 12400 Wilshire Blvd #230, Los Angeles, CA 90025 2020-11-06
1982203568 Gautami Polepally Ashok Psychologist 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 2020-10-23
1851990626 Sarah R Martin Psychologist 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 2020-10-22
1184223851 Emily Jenchura Psychologist 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 2020-10-22
1588261580 Pamela J Newman Psychologist 3737 Elderberry Gln, Escondido, CA 92025-7910 2020-10-04
1689271785 Michelle Sullivan Psychologist 2419 44th Ave, San Francisco, CA 94116-2062 2020-10-02
1184231730 Joanna Lesley Kaye Psychologist 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 2020-09-28
1174130181 Pamela F. Benyas Psychologist Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 2020-09-24
1730795634 Maya Boustani Psychologist 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 2020-09-17
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Competitor

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City SAN QUENTIN
Zip Code 94964

Improve Information

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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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