Provider Demographics
NPI:1083233977
Name:THOMAS PSYCHOLOGY GROUP PC
Entity Type:Organization
Organization Name:THOMAS PSYCHOLOGY GROUP PC
Other - Org Name:LORRAINE ABARO THOMAS, PSYD, LICENSED CLINICAL PSYCHOLOGIST PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:ABARO
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:909-255-2860
Mailing Address - Street 1:1508 BARTON ROAD
Mailing Address - Street 2:#186
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-1410
Mailing Address - Country:US
Mailing Address - Phone:909-255-2860
Mailing Address - Fax:909-796-0027
Practice Address - Street 1:1221 CALLE DE BARRANCA
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-6510
Practice Address - Country:US
Practice Address - Phone:909-255-2860
Practice Address - Fax:909-796-0027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-10
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealthGroup - Multi-Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1902378458OtherINDIVIDUAL NPI FOR LORRAINE THOMAS, PSYD