Provider Demographics
NPI:1649728122
Name:MURPHY, THOMAS MATTHEW (MS)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:MATTHEW
Last Name:MURPHY
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-1830
Mailing Address - Country:US
Mailing Address - Phone:404-226-7721
Mailing Address - Fax:518-763-0218
Practice Address - Street 1:620 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-1830
Practice Address - Country:US
Practice Address - Phone:404-226-7721
Practice Address - Fax:518-763-0218
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009183101YM0800X
NY009868101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health