Dr Kelly Dianne Thomas, PSYD is a
Psychologist - Clinical based in Los Angeles, California. Dr Kelly Dianne Thomas is licensed to practice in California (license number 29646) and her current practice location is
5925 Hollywood Blvd, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(213) 259-6013.
NPI number for Dr Kelly Dianne Thomas is 1548524317 and her current mailing address is 5925 Hollywood Blvd, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548524317.
Healthcare Provider's Profile
| Full Name | Dr Kelly Dianne Thomas |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 5925 Hollywood Blvd, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548524317
- Provider Enumeration Date: 06/27/2012
- Last Update Date: 03/22/2023
Medical Identifiers
Medical identifiers for Dr Kelly Dianne Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548524317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 30156 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071.008777 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 29646 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly Dianne Thomas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kelly Dianne Thomas, PSYD
5925 Hollywood Blvd,
Los Angeles, CA 90028-5409
Ph: (213) 259-6013 | Dr Kelly Dianne Thomas, PSYD
5925 Hollywood Blvd,
Los Angeles, CA 90028-5409
Ph: (213) 259-6013 |
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