Active NPIIndividual providerSole proprietor

Dr. Thomas L Dimitry, PHD

Psychologist, School in Ridgewood, New Jersey

NPI Number1407060833
Practice location
61 N Maple Ave, Suite 204E, Ridgewood, NJ 07450-3255
Fax
—
Last updated
September 11, 2025

Thomas Lee Dimitry is a Psychologist, School based in Ridgewood, NJ. Thomas Lee Dimitry practices in Ridgewood, NJ and has the professional credentials of PHD. The NPI Number for Thomas Lee Dimitry is 1407060833 and holds a License No. 3800 (NJ). The current practice location address for Thomas Lee Dimitry is 61 N Maple Ave, Suite 204E, Ridgewood, NJ 07450-3255 and can be reached out via phone at 201-445-6677.

Provider Profile Details

NPI Number
1407060833
Provider Name
Thomas Lee Dimitry
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
61 N Maple Ave, Suite 204E, Ridgewood, NJ 07450-3255
Phone Number
201-445-6677
Primary Taxonomy
Psychologist, School · 103TS0200X
Sole Proprietor
Yes
Provider Enumeration Date
May 8, 2007
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
61 N Maple Ave
Suite 204E
Ridgewood, NJ 07450-3255
Zip
07450-3255
Phone Number
201-445-6677
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
61 N Maple Ave
Suite 204E
Ridgewood, NJ 07450-3255
City
Ridgewood
State
NJ
Zip
07450-3255
Phone Number
201-445-6677

License Information

License Number (1)
3800
License State (1)
NJ
Taxonomy (1)
Psychologist, Cognitive & Behavioral · 103TB0200X
License Number (2)
3800
License State (2)
NJ
Taxonomy (2)
Psychologist, Clinical · 103TC0700X
License Number (3)
3800
License State (3)
NJ
License Number (4)
3800
License State (4)
NJ
Taxonomy (4)
Psychologist, School · 103TS0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Thomas L Dimitry, PHD?

The NPI number of Dr. Thomas L Dimitry, PHD is 1407060833. It was assigned on May 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Thomas L Dimitry, PHD?

Dr. Thomas L Dimitry, PHD is registered under the primary taxonomy Psychologist, School (code 103TS0200X), licensed in NJ under license number 3800.

Where does Dr. Thomas L Dimitry, PHD practice?

The practice location is 61 N Maple Ave, Suite 204E, Ridgewood, NJ 07450-3255. The office can be reached at 201-445-6677 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407060833 directly on the NPPES registry website.

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