Kim M Thompson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY32986 Issued in CA

Practice address

753 Peralta Ave
Berkeley, CA 94707-1817

Phone

(510) 384-7945

NPI assigned

Feb 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1023762010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 SOLANO AVE UNIT 6487",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947065032",
            "telephone_number": "510-384-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 PERALTA AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947071817",
            "telephone_number": "510-384-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KIM",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY32986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn Mons Thomas, MA, MFT
• Ariadne Thompson
• Danielle Thompson, JD
• Fanshen Thompson
• Gary T Thompson, M.A.
• Michael Anthony Thompson
• Susan Margaret Thompson, M.A.
• Verdie Lee Thompson, RN, PHN, MSN, PNP
• Veronique Lee Thompson, PH.D.
• Kira Thomsen

• Psychologist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.