THOMAS ST. JOHN NPI 1619543337

NPI Information

NPI: 1619543337
Provider Name: THOMAS ST. JOHN
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
360 EAST AVE STE 100
ROCHESTER, NY
ZIP 14604
Phone: (585) 491-3215
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Thomas St. John is a peer specialist in Rochester, NY. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Thomas St. John NPI is 1619543337. 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:

360 EAST AVE STE 100
ROCHESTER, NY
ZIP 14604-699
Phone: (585) 491-3215

The enumeration date for this NPI number is 6/2/2021 and was last updated on 11/18/2022.

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	225X00000X	Occupational Therapist				No
2	175T00000X	Peer Specialist		CRPA-P-5164	NEW YORK	Yes

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
1	CRPA-P-5164	OTHER	NEW YORK	CRPA

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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