Provider Demographics
NPI:1982859542
Name:RICHARD THOMAS, PHD
Entity Type:Organization
Organization Name:RICHARD THOMAS, PHD
Other - Org Name:LINCOLN PSYCHIATRIC GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:N
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:402-309-4667
Mailing Address - Street 1:1928 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-4825
Mailing Address - Country:US
Mailing Address - Phone:402-309-4667
Mailing Address - Fax:402-476-9912
Practice Address - Street 1:6920 VAN DORN ST
Practice Address - Street 2:STE B
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2977
Practice Address - Country:US
Practice Address - Phone:402-476-7557
Practice Address - Fax:402-476-9912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE402103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025687500Medicaid
NE266313THMedicare PIN