DR. THOMAS DE VRIES PH.D NPI 1700200722

NPI Information

  • NPI: 1700200722
  • Provider Name: DR. THOMAS DE VRIES, PH.D
  • Classification: Psychologist - 103TH0004X
  • Specialization: Health
  • Entity Type: Individual
  • Address: 405 W COUTRY CLUB RD
    ROSWELL, NM
    ZIP 88201
  • Phone: (505) 273-0574

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NPI Details

DR. Thomas De Vries, PH.D is a health psychologist in Roswell, NM. The provider is a psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

  • DR. Thomas De Vries, PH.D NPI is 1700200722. 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:

    405 W COUTRY CLUB RD
    ROSWELL, NM
    ZIP 88201-209
    Phone: (505) 273-0574

    The enumeration date for this NPI number is 2/11/2014 and was last updated on 10/21/2022.

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
1103TP0016XPsychologistPrescribing (Medical)0047CNEW MEXICONo
2103TH0004XPsychologistHealth1233NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11233OTHERNEW MEXICONM STATE BOARD OF PSYCHOLOGIST EXAMINERS LICENSE

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: 3/30/2025

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