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DR. KATHERINE SUZANNE THOMAS M.D.
NPI 1629368279
Psychiatry & Neurology - Child & Adolescent Psychiatry in Provo, UT

Active since April 17, 2011PECOS Enrolled
1300 E CENTER ST, PROVO, UT 84606(801) 344-4215(801) 344-4225 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2021, Feb 16, 2021 (2 updates tracked since 2021).

About Dr. Katherine Suzanne Thomas M.d. NPPES

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

DR. KATHERINE SUZANNE THOMAS M.D. (NPI 1629368279) is an individual child & adolescent psychiatry provider in Provo, Utah, licensed in Nevada (15409) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629368279
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KATHERINE SUZANNE THOMASCredential: M.D.
Location Address1300 E CENTER STProvo, UT 84606-3554
Mailing Address1300 E Center StProvo, UT 84606-3554 · (801) 344-4215 · Fax (801) 344-4225
Phone(801) 344-4215
Fax(801) 344-4225
Sole ProprietorNo
Enumeration DateApril 17, 2011
Last NPPES UpdateJune 3, 20212 updates tracked since enumeration
NPPES CertifiedJune 3, 2021
✔ NPI 1629368279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NV · 15409
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1300 E CENTER ST, Provo, UT 84606
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katherine Suzanne Thomas M.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 Katherine Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Utah
Same address
Psychiatric Hospital
1300 E CENTER ST
Provo, UT 84606
  • Reassigned Medicare billing, Utah enrollment
  • 84 clinicians in this Medicare group
NPI 1811978620 (801) 344-4400

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.

AARON EUGENE DEGRISELLES CTRS
Recreation Therapist
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4226
BRENNA GARRETT LCSW
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4400
EDWARD LESLIE KELLY MD
Psychiatry & Neurology (Forensic Psychiatry)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4400
WILLIAM KORY CAMP LCSW
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4215
UTAH STATE HOSPITAL
Psychiatric Hospital
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4331
KATIE DUVALL
Student in an Organized Health Care Education/Training Program
1300 E CENTER ST
PROVO, UT 84606
Utah County (013) 444-4400
KAZIA RYAN M.A.
Counselor
1300 E CENTER ST
PROVO, UT 84606
Utah County (385) 208-6904
THOMAS PAYNE LCSW
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4400

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 Katherine Thomas's NPI number?

The NPI number for Katherine Thomas is 1629368279. It was assigned to this individual provider in the NPPES registry on April 17, 2011.

Where is Katherine Thomas located?

Katherine Thomas practices at 1300 E Center St, Provo, UT 84606. The listed phone number is (801) 344-4215.

What is Katherine Thomas's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Katherine Thomas enrolled in Medicare?

Yes. Katherine Thomas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Thomas reassigns Medicare benefits to State Of Utah (Provo, UT). 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 Katherine Thomas'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 Katherine Thomas was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.