DOUGLAS A. THOM CLINIC INC. NPI 1396771820

NPI Information

  • NPI: 1396771820
  • Provider Name: DOUGLAS A. THOM CLINIC, INC.
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Doing Business As: THOM CHILD & FAMILY SERVICES
  • Address: 126 PHOENIX AVE
    BUILDING #2
    LOWELL, MA
    ZIP 01852
  • Phone: (978) 453-8331

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NPI Details

DOUGLAS A. THOM CLINIC, INC. is a developmental disabilities clinic center in Lowell, MA. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). DOUGLAS A. THOM CLINIC, INC. NPI is 1396771820. The provider is registered as an organization entity type.
The provider Is Doing Business As Thom Child & Family Services.

The provider's business location address is:

126 PHOENIX AVE
BUILDING #2
LOWELL, MA
ZIP 01852-931
Phone: (978) 453-8331
Fax: (978) 453-9254

The provider's authorized official is Gretchen Rowe Owens .
The authorized official title is Executive Director and has the following contact phone number (508) 655-5222.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 5/1/2017.

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
1261QD1600XClinic/CenterDevelopmental Disabilities008838MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11803131MEDICAIDMASSACHUSETTS
21803301MEDICAIDMASSACHUSETTS
31802976MEDICAIDMASSACHUSETTS
41887271MEDICAIDMASSACHUSETTS
51887289MEDICAIDMASSACHUSETTS
61800353MEDICAIDMASSACHUSETTS
71800574MEDICAIDMASSACHUSETTS
81802097MEDICAIDMASSACHUSETTS

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: 11/21/2025

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