Healthcare Provider Details

I. General information

NPI: 1649100355
Provider Name (Legal Business Name): THOMAS EVERS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 GOVERNOR CIR
ALBANY NY
12208-1548
US

IV. Provider business mailing address

38 GOVERNOR CIR
ALBANY NY
12208-1548
US

V. Phone/Fax

Practice location:
  • Phone: 518-229-0479
  • Fax:
Mailing address:
  • Phone: 518-229-0479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number$$$$$$$$$
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: