DR. THOMAS LEE DIMITRY PH.D. NPI 1407060833

NPI Information

NPI: 1407060833
Provider Name: DR. THOMAS LEE DIMITRY, PH.D.
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

Address:
61 N MAPLE AVE
SUITE 204E
RIDGEWOOD, NJ
ZIP 07450
Phone: (201) 445-6677
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DR. Thomas Lee Dimitry, PH.D. is a cognitive and behavioral psychologist in Ridgewood, NJ. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. DR. Thomas Lee Dimitry, PH.D. NPI is 1407060833. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

61 N MAPLE AVE
SUITE 204E
RIDGEWOOD, NJ
ZIP 07450-255
Phone: (201) 445-6677

The enumeration date for this NPI number is 5/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	3800	NEW JERSEY	Yes
2	103TC0700X	Psychologist	Clinical	3800	NEW JERSEY	X
3	103TC2200X	Psychologist	Clinical Child & Adolescent	3800	NEW JERSEY	X
4	103TS0200X	Psychologist	School	3800	NEW JERSEY	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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