NPI
Desmond Thayer
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- Psy.D.
- Type
- Individual
- Enumeration date
- 2014-06-22
- Last updated
- 2022-08-30
Specialties
Licenses
- License CA
- PSY29042
Location
- Practice location
- 100 Prison Rd
- City
- Represa CA
- Postal code
- 95671-2501
- Phone
- (916) 985-8610
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Represa, CA. 143 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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