Provider Demographics
NPI:1619286432
Name:THOMAS, MEKHA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MEKHA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 WINCHESTER AVE
Mailing Address - Street 2:2B
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-5809
Mailing Address - Country:US
Mailing Address - Phone:516-655-2751
Mailing Address - Fax:
Practice Address - Street 1:3380 RESERVOIR OVAL
Practice Address - Street 2:MONTEFIORE MEDICAL CENTER SCHOOL HEALTH PROGRAM
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-3101
Practice Address - Country:US
Practice Address - Phone:718-696-4065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018813103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical