Thomas Scott Halstead, PHD is a
Clinical Neuropsychologist based in Grand Rapids, Michigan. Thomas Scott Halstead is licensed to practice in Michigan (license number 6301011275) and his current practice location is
300 68th St Se, Grand Rapids, Michigan. He can be reached at his office (for appointments etc.) via phone at
(616) 455-5000.
NPI number for Thomas Scott Halstead is 1992733653 and his current mailing address is 300 68th St Se, Grand Rapids, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992733653.
Healthcare Provider's Profile
| Full Name | Thomas Scott Halstead |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 300 68th St Se, Grand Rapids, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992733653
- Provider Enumeration Date: 06/29/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Thomas Scott Halstead such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992733653 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 6301012275 (Michigan) | Primary |
| 103G00000X | Clinical Neuropsychologist | 6301011275 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas Scott Halstead is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Thomas Scott Halstead, PHD
300 68th St Se,
Grand Rapids, MI 49548-6927
Ph: (616) 455-5000 | Thomas Scott Halstead, PHD
300 68th St Se,
Grand Rapids, MI 49548-6927
Ph: (616) 455-5000 |
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