Individual provider Active NPI

S. Dianne Thompson, PH.D.

  • Psychologist
  • Beachwood, OH
National Provider Identifier
1073646048
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5826 Issued in OH
Practice address
24100 Chagrin Blvd
Suite 370
Beachwood, OH 44122-5535
Phone
(216) 702-2445
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5826 OH Primary

Addresses

Primary practice location

24100 Chagrin Blvd
Suite 370
Beachwood, OH 44122-5535

Mailing address

24100 Chagrin Blvd
Suite 370
Beachwood, OH 44122-5535
Phone (216) 702-2445

Other identifiers 2

IdentifierTypeStateIssuer
870742741OtherOHMEDICAL MUTUAL
PTANH428940OtherOHMEDICARE

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5826OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Consultants Inc PastSince Nov 7, 1997 Accepting new patients
Psychological Transitions, Inc PastSince Apr 1, 1995 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/psychologyconsultantsinc/r4/

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1073646048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24100 CHAGRIN BLVD",
            "address_2": "SUITE 370",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225535",
            "telephone_number": "216-702-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 CHAGRIN BLVD",
            "address_2": "SUITE 370",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225535",
            "telephone_number": "216-702-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "S.",
        "middle_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "870742741",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PTANH428940",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.