MR. COURTNEY JAMES THOMAS PSYD
NPI 1194913327
Psychologist in Oakland, CA

Active since October 12, 2007PECOS EnrolledAccepts Medicare Assignment
600 GRAND AVE UNIT 301, OAKLAND, CA 94610(510) 698-9311 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Jun 14, 2017 (2 updates tracked since 2017).

About Mr. Courtney James Thomas Psyd NPPES

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

MR. COURTNEY JAMES THOMAS PSYD (NPI 1194913327) is an individual psychologist in Oakland, California, licensed in California (PSY28843) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1194913327
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. COURTNEY JAMES THOMASCredential: PSYD
Location Address600 GRAND AVE UNIT 301Oakland, CA 94610-3548
Mailing Address600 Grand Ave, Unit 301Oakland, CA 94610 · (404) 941-7326 · Fax (404) 941-7556
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 12, 2007
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1194913327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY28843
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
600 GRAND AVE UNIT 301, Oakland, CA 94610

Secondary Practice Location 1

Location 15835 Campbellton Rd SW, Suite102Atlanta, GA 30331-8013 · Phone (404) 941-7326 · Fax (404) 941-7556

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Courtney James Thomas Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587896519
PECOS Enrollment IDI20210817002475
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Courtney Thomas's NPI number?

The NPI number for Courtney Thomas is 1194913327. It was assigned to this individual provider in the NPPES registry on October 12, 2007.

Where is Courtney Thomas located?

Courtney Thomas practices at 600 Grand Ave Unit 301, Oakland, CA 94610. The listed phone number is (510) 698-9311.

What is Courtney Thomas's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Courtney Thomas enrolled in Medicare?

Yes. Courtney Thomas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Courtney Thomas was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.