Provider Demographics
NPI:1669903308
Name:HOPKINS, THOMAS (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-4009
Mailing Address - Country:US
Mailing Address - Phone:855-446-4374
Mailing Address - Fax:415-891-0725
Practice Address - Street 1:327 CENTRAL PARK W # 2D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7631
Practice Address - Country:US
Practice Address - Phone:855-446-4374
Practice Address - Fax:855-446-4374
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-24
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC875932084P0800X
OH35.1450302084P0800X
CA1792732084P0800X
FLME1573072084P0800X
MO20220190982084P0800X
PAMD4780752084P0800X
IN01087664A2084P0800X
NY299748-012084P0800X
NJ25MA113373002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty