DR. JENNIFER CREWS THOM PH.D.
NPI 1528450459
Psychologist in Stockton, CA

Active since March 02, 2015PECOS Enrolled
7373 WEST LN, STOCKTON, CA 95210(209) 476-3881(209) 476-3528 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jennifer Crews Thom Ph.d. NPPES

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

DR. JENNIFER CREWS THOM PH.D. (NPI 1528450459) is an individual psychologist in Stockton, California, licensed in California (PSY 26767) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528450459
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JENNIFER CREWS THOMCredential: PH.D.
Location Address7373 WEST LNStockton, CA 95210-3377
Mailing Address7373 West LnStockton, CA 95210-3377 · (209) 476-3881 · Fax (209) 476-3528
Fax(209) 476-3528
Sole ProprietorNo
Enumeration DateMarch 2, 2015
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1528450459 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 CA · PSY 26767
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.
7373 WEST LN, Stockton, CA 95210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Crews Thom Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Thom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Pharmacist (Ambulatory Care)
7373 WEST LN
STOCKTON, CA 95210
Physical Medicine & Rehabilitation
7373 WEST LN
STOCKTON, CA 95210
Pediatrics
7373 WEST LN
STOCKTON, CA 95210
Orthopaedic Surgery
7373 WEST LN
STOCKTON, CA 95210
Psychiatry & Neurology (Psychiatry)
7373 WEST LN
STOCKTON, CA 95210
Dietitian, Registered
7373 WEST LN
STOCKTON, CA 95210
Internal Medicine
7373 WEST LN
STOCKTON, CA 95210
Surgery (Vascular Surgery)
7373 WEST LN
STOCKTON, CA 95210

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 Jennifer Thom's NPI number?

The NPI number for Jennifer Thom is 1528450459. It was assigned to this individual provider in the NPPES registry on March 2, 2015.

Where is Jennifer Thom located?

Jennifer Thom practices at 7373 West Ln, Stockton, CA 95210. The listed phone number is (209) 476-3881.

What is Jennifer Thom's specialty?

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

Is Jennifer Thom enrolled in Medicare?

Yes. Jennifer Thom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Thom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Thom reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Thom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Thom was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.