Provider Demographics
NPI:1609098961
Name:THOMAS ONORATO, PH.D., INC.
Entity Type:Organization
Organization Name:THOMAS ONORATO, PH.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ONORATO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:310-338-9002
Mailing Address - Street 1:4560 ADMIRALTY WAY
Mailing Address - Street 2:STE. 353
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5423
Mailing Address - Country:US
Mailing Address - Phone:310-338-9002
Mailing Address - Fax:310-642-0856
Practice Address - Street 1:4560 ADMIRALTY WAY
Practice Address - Street 2:STE. 353
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-5423
Practice Address - Country:US
Practice Address - Phone:310-338-9002
Practice Address - Fax:310-642-0856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY11518103G00000X, 103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP11518Medicare ID - Type UnspecifiedPSYCHOLOGIST
CACP11518DMedicare ID - Type UnspecifiedPSYCHOLOGIST
CAR15623Medicare UPIN