THOMAS M ALLEN (NPI# 1972592798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972592798 |
| Entity Type | Individual |
| Full Name | THOMAS M ALLEN |
| Credential | PSYD, HSPP |
| Practice Address |
809 Jefferson Ave La Porte IN 46350-3431 |
| Practice Telephone | 2198985645 |
| Practice Fax Number | 2193250850 |
| Mailing Telephone | 2198985645 |
| Mailing Fax Number | 2193250855 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2017-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
20042166A | IN | Behavioral Health & Social Service Providers |
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
20042166 | IN | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
20042166A | IN | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
071.007397 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200882550A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245859982 | Thomas Allen | Psychologist | 12 Valley View Pl, Mankato, MN 56001-2500 | 2020-04-13 |
| 1497220271 | Thomas Andrew Allen | Physical Medicine & Rehabilitation | 10801 Bellehaven Blvd, Damascus, MD 20872-2201 | 2018-10-09 |
| 1255624946 | Thomas Gorman Allen | Specialist | 1155 Arden Rd, Pasadena, CA 91106-4143 | 2011-05-27 |
| 1114041027 | Thomas J Allen | Chiropractor | 444 E Penn St, Bedford, PA 15522-1435 | 2007-03-17 |
| 1649326307 | Thomas B Allen | Dentist | 2033 Center Ave, Fort Lee, NJ 07024-4707 | 2007-01-26 |
| 1154495364 | Thomas J Allen Jr. | Dentist | 1010 Main Street, Suite 6, Holden, MA 01520 | 2006-11-20 |
| 1447366273 | Thomas James Allen | Dentist | 4020 S 700 E Ste 4, Salt Lake City, UT 84107-2579 | 2006-08-22 |
| 1356350813 | Thomas Allen | Counselor | 5700 Granite Pkwy, Ste 200, Plano, TX 75024-6622 | 2006-08-05 |
| 1053380493 | Thomas J. Allen | Pediatrics | 1717 S. Orange Ave. Suite 100, Nemours Childrens Clinic Orlando, Orlando, FL 32806-2946 | 2006-03-17 |
| 1164415121 | Thomas Gordon Allen | Emergency Medicine | 3305 Oosty Ct, Mckinney, TX 75070-4828 | 2005-08-25 |
| Street Address |
809 JEFFERSON AVE |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114576154 | Tina Marie Pierce | Nurse Practitioner | 809 Jefferson Ave, La Porte, IN 46350-3431 | 2019-09-11 |
| 1548650930 | Kimly Keeton | Counselor | 809 Jefferson Ave, La Porte, IN 46350-3431 | 2015-01-23 |
| 1194064568 | Deana Sherbondy | Counselor | 809 Jefferson Ave, La Porte, IN 46350-3431 | 2013-02-05 |
| 1750627253 | Cynthia White | Marriage & Family Therapist | 809 Jefferson Ave, La Porte, IN 46350-3431 | 2013-01-02 |
| 1306171202 | Renee Lewis | Counselor | 809 Jefferson Ave, La Porte, IN 46350-3431 | 2009-10-09 |
| 1285686634 | Rachael Manney | Social Worker | 809 Jefferson Ave, La Porte, IN 46350-3431 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| Find all providers in zip 46350 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962993063 | Nicole C Allen | Psychologist | 595 W Edge Trl Apt O, Avon, IN 46123-6841 | 2018-05-24 |
| 1720436488 | Youth Opportunity Center | Psychologist | 103 W County Road 100 N, New Castle, IN 47362-8965 | 2016-06-02 |
| 1528449964 | Leroy Burgess | Psychologist | 300 S Saint Louis Blvd Ste 202, South Bend, IN 46617-3044 | 2015-06-11 |
| 1144555855 | Paula A. Neuman | Psychologist | 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 | 2009-10-14 |
| 1942491600 | Dixie J Pederson | Psychologist | 2 N 19th St, Lafayette, IN 47904-2950 | 2007-08-07 |
| 1285839480 | Center for Brief Therapy PC | Psychologist | 423 Airport N. Office Park, Ft. Wayne, IN 46825-6704 | 2007-06-18 |
| 1376600767 | Bart Ferraro | Psychologist | 2011 N Meridian St, Indianapolis, IN 46202-1305 | 2007-01-03 |
| 1326125998 | Mary Wollitz Dooley | Psychologist | 7125 E Us Hwy 36, Avon, IN 46123 | 2006-11-01 |
| 1235247396 | Linda Ohlsen Ferreira | Psychologist | 23 East 39th Street, Indianapolis, IN 46205-2645 | 2006-08-29 |
| 1497798284 | Victory Clinical Services II LLC | Psychologist | 4218 W Western Ave, South Bend, IN 46619-2622 | 2006-06-13 |
| 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.