PAUL THOMAS
NPI 1992242903
Psychologist - Clinical in Newport News, VA
NPI Status: Active since January 28, 2017
Contact Information
751 THIMBLE SHOALS BLVD STE K
NEWPORT NEWS, VA
ZIP 23606
Phone: (757) 255-7445
- Individual
- Male
- Years of Experience 4
- Psychologist
- Clinical
- Accepts Insurance
- May Accept Medicare Approved Payment
About PAUL THOMAS
This page provides the complete NPI Profile along with additional information for Paul Thomas, a provider established in Newport News, Virginia with a medical specialization in Psychologist, focusing in clinical and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1992242903 assigned on January 2017. The practitioner's primary taxonomy code is 103TC0700X with license number 0810008526 (VA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1992242903
- Provider Name
- PAUL THOMAS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 751 THIMBLE SHOALS BLVD STE K NEWPORT NEWS, VA 23606
- Location Phone
- (757) 255-7445
- Mailing Address
- 751 THIMBLE SHOALS BLVD STE K NEWPORT NEWS, VA 23606
- Mailing Phone
- (757) 255-7445
- Medical School Name
- OTHER
- Graduation Year
- 2022
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-28-2017
- Last Update Date
- 07-14-2025
- Code Navigator
A clinical psychologist like Paul Thomas assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 0810008526
- License State
- VA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Paul Thomas is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 8123528163
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250825000023
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for PAUL THOMAS
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1992242903, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
NEWPORT NEWS, VA 23606
NEWPORT NEWS, VA 23606
NEWPORT NEWS, VA 23606
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992242903, enumerated as an "individual" on January 28, 2017.
The provider is located at 751 THIMBLE SHOALS BLVD STE K NEWPORT NEWS, VA 23606 and the phone number is (757) 255-7445.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.
