Provider Demographics
NPI:1073655528
Name:HOPKINS, THOMAS F (PHD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:F
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 OLD MAMARONECK ROAD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605
Mailing Address - Country:US
Mailing Address - Phone:914-761-1305
Mailing Address - Fax:914-761-3034
Practice Address - Street 1:23 OLD MAMARONECK ROAD
Practice Address - Street 2:SUITE 2
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605
Practice Address - Country:US
Practice Address - Phone:914-761-1305
Practice Address - Fax:914-761-3034
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0059811103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01449985Medicaid
NYV47361Medicare PIN
R53630Medicare UPIN