DR. THOMAS JOSEPH (M.D.) – Psychiatry Physician, NPI 1710170022

DR. THOMAS JOSEPH (M.D.) is a healthcare provider. based in Brooklyn park, Minnesota. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. 55087 (MN). The NPI Number for DR. THOMAS JOSEPH (M.D.) is 1710170022

Main info

Male
Sole Proprietor
Name
DR. THOMAS JOSEPH (M.D.)
NPI
1710170022
Phone
(763) 762-8800
Address
9400 ZANE AVE N
Enumeration Date
20 August 2007
Last Update Date
21 September 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:18State licenses:2Digital endpointsOther names

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Provider Addresses for DR. THOMAS JOSEPH (M.D.)

  • PrairieCare Children's Psychiatric Hospital, 9400, Zane Avenue North, Brooklyn Park, Hennepin County, Minnesota, 55443, United States

    BROOKLYN PARK, MN 554431814

    Phone: (763) 762-8800

    Fax: (763) 315-3539

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241113000458IPsychiatryMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55443)

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Reviews

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Frequently asked questions

Does DR. THOMAS JOSEPH (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. THOMAS JOSEPH (M.D.) uses 1710170022.
Can I rely on DR. THOMAS JOSEPH (M.D.) being an active provider?
As of the registry snapshot, DR. THOMAS JOSEPH (M.D.) is marked active.
What is DR. THOMAS JOSEPH (M.D.)'s specialty?
The listing groups DR. THOMAS JOSEPH (M.D.) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. THOMAS JOSEPH (M.D.)?
DR. THOMAS JOSEPH (M.D.)'s geographic hint is Brooklyn Park, Minnesota in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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