Provider Demographics
NPI:1932296142
Name:RICK D. THOMAS, PH.D. LLC
Entity Type:Organization
Organization Name:RICK D. THOMAS, PH.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:816-331-0374
Mailing Address - Street 1:409 N SCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:MO
Mailing Address - Zip Code:64012-2035
Mailing Address - Country:US
Mailing Address - Phone:816-331-0374
Mailing Address - Fax:816-331-1070
Practice Address - Street 1:409 N SCOTT AVE
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:MO
Practice Address - Zip Code:64012-2035
Practice Address - Country:US
Practice Address - Phone:816-331-0374
Practice Address - Fax:816-331-1070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR0411103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOR0411OtherMO STATE LICENSE #
MO25723021OtherINDIVIDUAL PROVIDER NUMBE
MO149052OtherVALUE OPTIONS PROVIDER #
MO2018341OtherCIGNA PROVIDER NUMBER
MO$$$$$$$$$OtherSOCIAL SECURITY NUMBER
MO37107016OtherBCBS GROUP PROVIDER NUMBE
MO6166639OtherUNITED BEHAVIORAL HEALTH
MOS78759Medicare UPIN