Evan Miller Thomas, PSYD is a
Psychologist based in Decatur, Georgia. Evan Miller Thomas is licensed to practice in Georgia (license number PSY003899) and his current practice location is
108 E Ponce De Leon Ave Ste 204, Decatur, Georgia. He can be reached at his office (for appointments etc.) via phone at
(510) 566-2367.
NPI number for Evan Miller Thomas is 1215056809 and his current mailing address is 25857 Foothills Dr N, Golden, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215056809.
Healthcare Provider's Profile
| Full Name | Evan Miller Thomas |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 108 E Ponce De Leon Ave Ste 204, Decatur, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215056809
- Provider Enumeration Date: 03/28/2007
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Evan Miller Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215056809 | NPI | - | NPPES |
| 11415 | Other | | SFGH INTERNAL USE ONLY |
| 11415 | Other | | CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | D6540235 (California) | Secondary |
| 103T00000X | Psychologist | PSY003899 (Georgia) | 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. Evan Miller 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 |
|---|
Evan Miller Thomas, PSYD
25857 Foothills Dr N,
Golden, CO 80401-8556
Ph: (510) 566-2367 | Evan Miller Thomas, PSYD
108 E Ponce De Leon Ave Ste 204,
Decatur, GA 30030-2512
Ph: (510) 566-2367 |
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