National Provider Identifier

John Thomassen, PHD

John Thomassen, PHD is listed in the NPPES registry with a primary specialty of Psychologist in Rochester, NY and a listed phone number of (585) 292-5830.

NPI 1881747020Rochester, NYPsychologist

Profile Overview

NPI
1881747020
Provider Type
Individual
Primary Specialty
Psychologist
Enumeration Date
January 19, 2007
Last Updated
July 09, 2007

Practice Location

  • 103 White Spruce Blvd
  • Rochester, NY 14623-1610

Phone: (585) 292-5830

Mailing Address

  • 831 W Bloomfield RD
  • Honeoye Falls, NY 14472-9326

Specialties

  • Psychologist (103T00000X)
Full Record
NPI
1881747020
Entity Type
Individual
Last Name
Thomassen
First Name
John
Credential
PHD
Mailing Street Address
831 W Bloomfield RD
Mailing City
Honeoye Falls
Mailing State
NY
Mailing ZIP Code
14472-9326
Mailing Country
US
Practice Street Address
103 White Spruce Blvd
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-1610
Practice Country
US
Practice Phone
(585) 292-5830
Enumeration Date
January 19, 2007
Last Updated
July 09, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychologist (103T00000X)
Other Identifiers
027548 (Value Options), 7283460 (NY, Aenta), 156779FC (NY, Preferred Care)