Individual provider Active NPI

Katelyn M Thompson, D.O.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1063853935
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
7063 Issued in NE
Practice address
109 W 27TH St
Suite 5S
New York, NY 10001
Phone
(833) 351-8255
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 7063 NE Primary

Addresses

Primary practice location

109 W 27TH St
Suite 5S
New York, NY 10001

Mailing address

109 W 27TH St
Suite 5S
New York, NY 10001
Phone (833) 351-8255

Other practice location 1

6200 Hospitality Dr
Franklin, TN 37067-5023
Phone (833) 351-8255

Other practice location 2

6500 University Ave
Suite 100, PMB 139
Windsor Heights, IA 50324
Phone (833) 351-8255

Other identifiers 1

IdentifierTypeStateIssuer
0159608MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NY, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170628000267 IA Practitioner - Psychiatry 8628209228 Reassigns benefits to 2 organizations
I20240705001200 NY Practitioner - Psychiatry 8628209228 Reassigns benefits to 1 organization
I20240705002523 TN Practitioner - Psychiatry 8628209228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

315 Deaderick St
Suite 1550
Nashville, TN 37238-3003
Phone (833) 351-8255

6500 University Ave
Suite 100
Des Moines, IA 50324-1607
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1310NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Jun 24, 2024 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince May 23, 2024 Accepting new patients
North Central Iowa Mental Health Center Inc CurrentSince Jul 1, 2017 Accepting new patients
North Central Iowa Mental Health Center Inc CurrentSince Jul 1, 2017 Accepting new patients

Locations

1515 S Phillips St
Algona, IA 50511
Phone (515) 295-2451

6500 University Ave
Ste 100
Des Moines, IA 50324
Phone (515) 279-1959

720 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 570-8261

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

315 Deaderick St
Ste 1550
Nashville, TN 37238
Phone (615) 554-3233

Organizations & group practices 4

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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1063853935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST",
            "address_2": "SUITE 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "833-351-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST",
            "address_2": "SUITE 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "833-351-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Hospitality Dr",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370675023",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 University Ave",
            "address_2": "Suite 100, PMB 139",
            "address_purpose": "LOCATION",
            "city": "Windsor Heights",
            "state": "IA",
            "postal_code": "50324",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KATELYN",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "7063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159608",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.