Provider Demographics
NPI:1225698301
Name:THOMAS MCCAFFREY PSYD LLC
Entity Type:Organization
Organization Name:THOMAS MCCAFFREY PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCCAFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-471-6993
Mailing Address - Street 1:1925 ASPEN DR STE 901B
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-5569
Mailing Address - Country:US
Mailing Address - Phone:847-471-6993
Mailing Address - Fax:
Practice Address - Street 1:1925 ASPEN DR STE 901B
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-5569
Practice Address - Country:US
Practice Address - Phone:847-471-6993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-19
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty