Russel L Thompson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

32230 Issued in TX

Practice address

7400 Blanco Road
Suite 126
San Antonio, TX 78216-3500

Phone

(210) 699-8700

Fax

(210) 587-2454

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Russel Thompson, PHD and Associates PCGroup PAC ID 3072798974, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Russel Thompson, PHD & Associates PC

  • Psychologist
  • San Antonio, TX
  • NPI 1932431350
  Medicare reassignment Care Compare group Authorized official
• Gulf Bend Mental Health Mental Retardation Center

  • Professional Counselor
  • Victoria, TX
  • NPI 1467434399
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1003912924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 NURSERY DR. STE 100",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904",
            "telephone_number": "361-575-0611",
            "fax_number": "361-579-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BLANCO ROAD",
            "address_2": "SUITE 126",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163500",
            "telephone_number": "210-699-8700",
            "fax_number": "210-587-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "RUSSEL",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PSYCHOLOGIST LIC #",
            "identifier": "32230",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Precious King Thompson, D.D.S
• Raymond Zachary John Thompson
• Rebecca Danielle Thompson, DO, MPH
• Robert Knox Thompson III, M.D.
• Ross Thompson, LMFT
• Tara L Thompson, PA-C
• Tiffany Thompson
• Tiffany Miljak Thompson, CCC-SLP
• Yvronda Thompson, LPC
• Addison Raine Thomson

• Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.