Provider Demographics
NPI:1124160767
Name:NARDI, THOMAS J (PHD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:J
Last Name:NARDI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 NORTH MIDDLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-1813
Mailing Address - Country:US
Mailing Address - Phone:845-623-6400
Mailing Address - Fax:
Practice Address - Street 1:168 NORTH MIDDLETOWN RD
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-1813
Practice Address - Country:US
Practice Address - Phone:845-623-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6052103T00000X
NJ1407103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist