MEDICARE: DR. RICHARD S THOMAS PSY.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	416	NC
2	101YP2500X	Professional Counselor	534	NC

General Provider Information

NPI Number	:	1790841740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD S THOMAS PSY.D

Provider Business Mailing Address
First Line	:	3409 W WENDOVER AVE
Second Line	:	SUITE-D
City	:	GREENSBORO
State	:	NC
Zip	:	27407-1580
Country	:	US
Telephone Number	:	336-834-0616
Fax Number	:	336-834-0411

Provider Business Practice Location Address
First Line	:	3409 W WENDOVER AVE
Second Line	:	SUITE-D
City	:	GREENSBORO
State	:	NC
Zip	:	27407-1580
Country	:	US
Telephone Number	:	336-834-0616
Fax Number	:	336-834-0411

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	09/11/2025

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