Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

THOMAS V HICKS PH.D., L.P.
NPI 1275589269
Psychologist in Bloomington, MN

Active since May 25, 2006Opted out of Medicare · through Oct 14, 2026
900 AMERICAN BLVD E, SUITE 201, BLOOMINGTON, MN 55420(952) 854-2622(952) 854-3293 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas V Hicks Ph.d., L.p. NPPES

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

THOMAS V HICKS PH.D., L.P. (NPI 1275589269) is an individual psychologist in Bloomington, Minnesota, licensed in Minnesota (LP 4530) and active in the NPI registry since May 2006. He has opted out of Medicare through October 14, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275589269
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameTHOMAS V HICKSCredential: PH.D., L.P.
Location Address900 AMERICAN BLVD E, SUITE 201Bloomington, MN 55420-1392
Mailing Address900 American Blvd E, Suite 201Bloomington, MN 55420-1392 · (952) 854-2622 · Fax (952) 854-3293
Fax(952) 854-3293
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1275589269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP 4530
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.
900 AMERICAN BLVD E, Bloomington, MN 55420

Other Identifiers 3

Other112341MN · Healthpartners Provider #
Other61-94690MN · Medica Provider Number
Other057G8HIMN · Bc/bs Provider Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Thomas V Hicks Ph.d., L.p. 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 October 14, 2008 through October 14, 2026.

Opt-Out Effective DateOctober 14, 2008
Opt-Out In Effect ThroughOctober 14, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
900 AMERICAN BLVD E, SUITE 100
BLOOMINGTON, MN 55420
Psychologist (Clinical)
900 AMERICAN BLVD E, SUITE 201
BLOOMINGTON, MN 55420
Counselor (Mental Health)
900 AMERICAN BLVD E, 142
BLOOMINGTON, MN 55420
Home Health
900 AMERICAN BLVD E, SUITE 206
BLOOMINGTON, MN 55420
Social Worker (Clinical)
900 AMERICAN BLVD E, SUITE 103
BLOOMINGTON, MN 55420
Psychologist (Clinical)
900 AMERICAN BLVD E, SUITE 201
BLOOMINGTON, MN 55420
Psychologist (Clinical)
900 AMERICAN BLVD E, SUITE 201
BLOOMINGTON, MN 55420

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 Hicks's NPI number?

The NPI number for Thomas Hicks is 1275589269. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Thomas Hicks located?

Thomas Hicks practices at 900 American Blvd E Suite 201, Bloomington, MN 55420. The listed phone number is (952) 854-2622.

What is Thomas Hicks's specialty?

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

Is Thomas Hicks enrolled in Medicare?

No. Thomas Hicks has opted out of Medicare through October 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Thomas Hicks was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.