DR. THOMAS MONROE RAYBURN III PH.D.
NPI 1033329305
Psychologist - Clinical in Washington, DC

Active since May 23, 2007Opted out of Medicare · through Apr 1, 2027
4001 HAREWOOD RD NE, 126 O'BOYLE HALL, WASHINGTON, DC 20064(202) 319-6323 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas Monroe Rayburn Iii Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS MONROE RAYBURN III PH.D. (NPI 1033329305) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (1000076) and active in the NPI registry since May 2007. He has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1033329305
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. THOMAS MONROE RAYBURN IIICredential: PH.D.
Location Address4001 HAREWOOD RD NE, 126 O'BOYLE HALLWashington, DC 20064-0001
Mailing Address4001 Harewood Rd NeWashington, DC 20064-0001
Sole ProprietorYes
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 11, 2007
NPI 1033329305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in DC · 1000076 Licensed in MD · 03678
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4001 HAREWOOD RD NE, Washington, DC 20064

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Thomas Monroe Rayburn Iii Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Rayburn's NPI number?

The NPI number for Thomas Rayburn is 1033329305. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Thomas Rayburn located?

Thomas Rayburn practices at 4001 Harewood Rd NE 126 O'boyle Hall, Washington, DC 20064. The listed phone number is (202) 319-6323.

What is Thomas Rayburn's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Thomas Rayburn enrolled in Medicare?

No. Thomas Rayburn has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Thomas Rayburn was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.