Active NPI
Rachel V. Tompkins, PH.D.
- Clinical Psychologist
- Edwardsville, IL
National Provider Identifier
1114039435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Practice address
- 118 S Main St
Edwardsville, IL 62025-1904 - Phone
- (618) 656-0696
- Fax
- (618) 656-9697
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | IL | Primary |
Addresses
Primary practice location
118 S Main St
Edwardsville, IL 62025-1904
Mailing address
118 S Main St
Edwardsville, IL 62025-1904
Phone (618) 656-0696
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IP167869 | Other | MAGELLAN INSURANCE ID NUM | |
| 9112714 | Other | PHCS INSURANCE ID NUMBER | |
| 6100116 | Other | IL | BC/BS ID NUMBER |
| 90051 | Other | MHN INSURANCE ID NUMBER | |
| 158294 | Other | COMPSYCH INSURANCE ID NUM | |
| 6189572 | Other | UBH INSURANCE ID NUMBER | |
| A1015113 | Other | VALUE OPTIONS INSURANCE I | |
| 139120 | Other | HEALTHLINK INSURANCE ID N |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121105000476 | IL | Practitioner - Clinical Psychologist | 6305097189 | Practice locations: Edwardsville, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
118 S Main St
Edwardsville, IL 62025-1904
Phone (618) 656-0696
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-003442 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114039435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 S MAIN ST",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620251904",
"telephone_number": "618-656-0696",
"fax_number": "618-656-9697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 S MAIN ST",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620251904",
"telephone_number": "618-656-0696",
"fax_number": "618-656-9697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMPKINS",
"first_name": "RACHEL",
"middle_name": "V.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN INSURANCE ID NUM",
"identifier": "IP167869",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS INSURANCE ID NUMBER",
"identifier": "9112714",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS ID NUMBER",
"identifier": "6100116",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN INSURANCE ID NUMBER",
"identifier": "90051",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH INSURANCE ID NUM",
"identifier": "158294",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH INSURANCE ID NUMBER",
"identifier": "6189572",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS INSURANCE I",
"identifier": "A1015113",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK INSURANCE ID N",
"identifier": "139120",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edwardsville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.