| Peter Thomas Phd Personal Coporation | |
|
19018 Corliss Ave N Ste 300 Shoreline WA 98133-4146 | |
| (206) 356-8724 | |
| (206) 417-2841 |
| Full Name | Peter Thomas Phd Personal Coporation |
|---|---|
| Speciality | Psychologist |
| Location | 19018 Corliss Ave N Ste 300, Shoreline, Washington |
| Authorized Official Name and Position | Peter M Thomas (OWNER) |
| Authorized Official Contact | 2063568724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Thomas Phd Personal Coporation 19018 Corliss Ave N Ste 300 Shoreline WA 98133-4146 Ph: (206) 356-8724 | Peter Thomas Phd Personal Coporation 19018 Corliss Ave N Ste 300 Shoreline WA 98133-4146 Ph: (206) 356-8724 |
| NPI Number | 1649383613 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 05/12/2022 |
| Certification Date | 05/12/2022 |
| Medicare PECOS PAC ID | 1254326663 |
|---|---|
| Medicare Enrollment ID | O20040415001275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649383613 | NPI | - | NPPES |
| 8912335 | Other | WA | CRIME VICTIMS COMP PROV# |
| 78567 | Other | WA | LABOR & INDUSTRIES PROV# |
| AETNA | Other | WA | 5113341 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1172 (Washington) | Primary |
| Provider Name | Peter M Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376656363 PECOS PAC ID: 7315932720 Enrollment ID: I20040927000224 |
Wonderland Child & Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2402 Nw 195th Pl, Shoreline, WA 98177 Phone: 206-364-3777 Fax: 206-364-3999 | |
Malole Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1207 N 200th St, Shoreline, WA 98133 Phone: 951-288-4017 | |
Center For Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17018 15th Ave Ne, Shoreline, WA 98155 Phone: 206-362-7282 Fax: 206-362-7152 | |
Center For Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14803 15th Ave Ne, Shoreline, WA 98155 Phone: 206-362-7282 | |
William A. Burkhart Phd Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20056 19th Ave Ne, Shoreline, WA 98155 Phone: 206-365-1435 Fax: 206-365-1428 | |
Daniel Schwartz Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1424 Ne 155th St Ste 207, Shoreline, WA 98155 Phone: 206-288-9050 | |
Synergia Integrated Telebehavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2237 Ne 169th St, Shoreline, WA 98155 Phone: 206-365-3096 |