Peter Thomas, PhD – Clinical Psychologist, NPI 1649383613
Clinical Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Peter Thomas, PhD
4649 Sunnyside Ave N
Suite 300
Seattle, WA 981036900
Phone: (206) 634-2162
Fax: (206) 417-2841
Type: Location
19018 CORLISS AVE N STE 300
SHORELINE, WA 981334146
Phone: (206) 356-8724
Fax: (206) 417-2841
Type: Mailing
Good Shepherd Center, 4649, Sunnyside Avenue North, Wallingford, Seattle, King County, Washington, 98103, United States
SUITE 300
SEATTLE, WA 981036900
Phone: (206) 634-2162
Fax: (206) 417-2841
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2004-04-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040415001275 | O | Clinic/Group Practice | WA | TBD |
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.
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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 98103)
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