Provider Demographics
NPI:1831807908
Name:THOMAS, JAMES PATRICK V (MHS)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PATRICK
Last Name:THOMAS
Suffix:V
Gender:M
Credentials:MHS
Other - Prefix:MR
Other - First Name:JAMIE
Other - Middle Name:PATRICK
Other - Last Name:THOMAS
Other - Suffix:V
Other - Last Name Type:Other Name
Other - Credentials:MHS
Mailing Address - Street 1:4950 WARING RD STE 4
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-2700
Mailing Address - Country:US
Mailing Address - Phone:619-277-4686
Mailing Address - Fax:
Practice Address - Street 1:4950 WARING RD STE 4
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-2700
Practice Address - Country:US
Practice Address - Phone:619-277-4686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health