ROBERT MARTIN THOMAS RADT 1 NPI 1952825911

NPI Information

NPI: 1952825911
Provider Name: ROBERT MARTIN THOMAS, RADT 1
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 05D2264739

Address:
950 JULIAN ST
SAN JOSE, CA
ZIP 95122
Phone: (408) 457-1240
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Robert Martin Thomas, RADT 1 is an addiction (substance use disorder) counselor in San Jose, CA. Robert Martin Thomas, RADT 1 NPI is 1952825911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

950 JULIAN ST
SAN JOSE, CA
ZIP 95122
Phone: (408) 457-1240

The CLIA number assigned to this NPI record is 05D2264739 - other - govt employment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2017 and was last updated on 8/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)		CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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