Individual provider Active NPI

Megan Thompson Kates, PH.D.

  • Psychologist
  • San Diego, CA
National Provider Identifier
1053564310
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
24940 Issued in CA
Practice address
9040 Friars Rd
Suite 400
San Diego, CA 92108-5859
Phone
(619) 284-6377
Fax
(619) 528-2841
NPI assigned
Oct 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 24940 CA Primary

Addresses

Primary practice location

9040 Friars Rd
Suite 400
San Diego, CA 92108-5859

Mailing address

4203 Genesee Ave
Ste 103 Box 224
San Diego, CA 92117-4950
Phone (858) 342-6270

Other names 1

  • Megan M Thompson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
24940CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Blake Thompson MD Inc. PastSince Nov 17, 2019 Accepting new patients
Mackay Chiropractic Inc PastSince Mar 1, 2006 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1053564310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 GENESEE AVE",
            "address_2": "STE 103 BOX 224",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174950",
            "telephone_number": "858-342-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 FRIARS RD",
            "address_2": "SUITE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085859",
            "telephone_number": "619-284-6377",
            "fax_number": "619-528-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATES",
        "first_name": "MEGAN",
        "middle_name": "THOMPSON",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "24940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "THOMPSON",
            "middle_name": "M",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.