THOMAS WILLIAM PEDERSEN PSY.D.
NPI 1326145806
Psychologist - Clinical in Ringgold, GA

Q: What is Thomas Pedersen's NPI number?

The NPI number for Thomas Pedersen is 1326145806. It was assigned to this individual provider in the NPPES registry on September 19, 2006.

Q: What is Thomas Pedersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Pedersen was last updated on March 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 19, 2006

561 KAILORS COVE CIR, RINGGOLD, GA 30736(423) 580-8896 Get Directions Write a Review

NPPES record last updated: March 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Thomas William Pedersen Psy.d. NPPES

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

THOMAS WILLIAM PEDERSEN PSY.D. (NPI 1326145806) is an individual clinical provider in Ringgold, Georgia, licensed in Tennessee (P0000001751) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1326145806

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameTHOMAS WILLIAM PEDERSENCredential: PSY.D.

Location Address561 KAILORS COVE CIRRinggold, GA 30736-3372

Mailing Address561 Kailors Cove CirRinggold, GA 30736-3372 · (423) 580-8896

Phone(423) 580-8896

Sole ProprietorYes

Enumeration DateSeptember 19, 2006

Last NPPES UpdateMarch 20, 2014

✔ NPI 1326145806 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 TN · P0000001751✔ Licensed in GA · PSY002564

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.

561 KAILORS COVE CIR, Ringgold, GA 30736

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Other Identifiers 7

Medicaid235954957BGA

Medicare PIN103I685423TN

Medicaid3584286TN

Medicare PIN68BBGWCGA

Other3138951TN · Bcbs W Paradigm

Other680011023TN · Rr Medicare W Paradigm

Medicare PIN3980240TN

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 Pedersen's NPI number?

The NPI number for Thomas Pedersen is 1326145806. It was assigned to this individual provider in the NPPES registry on September 19, 2006.

Where is Thomas Pedersen located?

Thomas Pedersen practices at 561 Kailors Cove Cir, Ringgold, GA 30736. The listed phone number is (423) 580-8896.

What is Thomas Pedersen's specialty?

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

When was this NPI record last updated?

The NPPES record for Thomas Pedersen was last updated on March 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.