MEDICARE: DR. THOMAS BARNETT LEWIS M.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	2084P0800X	Psychiatry Physician	G069558	CA

General Provider Information

NPI Number	:	1972654093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS BARNETT LEWIS M.D.

Provider Business Mailing Address
First Line	:	767 BRIDGEWAY STE 3A
Second Line	:
City	:	SAUSALITO
State	:	CA
Zip	:	94965-2193
Country	:	US
Telephone Number	:	415-664-6929
Fax Number	:	415-331-2840

Provider Business Practice Location Address
First Line	:	767 BRIDGEWAY STE 3A
Second Line	:
City	:	SAUSALITO
State	:	CA
Zip	:	94965-2193
Country	:	US
Telephone Number	:	415-664-6929
Fax Number	:

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

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	05/29/2026

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