| Thomas Behavioral Health, P.C. | |
|
35 E 10th St Ste D2 Tracy CA 95376-4066 | |
| (702) 626-0941 | |
| Not Available |
| Full Name | Thomas Behavioral Health, P.C. |
|---|---|
| Speciality | Psychologist |
| Location | 35 E 10th St Ste D2, Tracy, California |
| Authorized Official Name and Position | Tishira Hills (BUSINESS MANAGER) |
| Authorized Official Contact | 9096817181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Behavioral Health, P.C. 3172 N Rainbow Blvd # 1466 Las Vegas NV 89108-4534 | Thomas Behavioral Health, P.C. 35 E 10th St Ste D2 Tracy CA 95376-4066 Ph: (702) 626-0941 |
| NPI Number | 1942197058 |
|---|---|
| Provider Enumeration Date | 06/20/2025 |
| Last Update Date | 06/20/2025 |
| Certification Date | 06/20/2025 |
| Medicare PECOS PAC ID | 2062994635 |
|---|---|
| Medicare Enrollment ID | O20260303003408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942197058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | () | Primary |
| Provider Name | Kelly Dianne Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548524317 PECOS PAC ID: 6002355526 Enrollment ID: I20240828004158 |
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