Thompson House for Youth Leadership and Wellness

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

BH-3419 Issued in AZ

Legal business name

THOMPSON HOUSE FOR YOUTH LEADERSHIP AND WELLNESS

Practice address

6536 N 28TH GLN
Phoenix, AZ 85017-1282

Phone

(602) 841-0423

NPI assigned

Mar 4, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Tyree Thompson

Title

Owner

Phone

(602) 618-5369

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1144543182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6536 N 28TH GLN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6536 N 28TH GLN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171282",
            "telephone_number": "602-841-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON HOUSE FOR YOUTH LEADERSHIP AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TYREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-618-5369",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "AZ",
            "license": "BH-3419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Marie Thomas, FNP-C
• Tracy Thomas, APRN, CNS
• Vanessa K Thomas, RDH
• Victoria F Thomas, LPC
• Winston S. Thomas, M.D.
• Barbarann Thompson Paull, PA-C
• Adam R. Thompson, MD
• Alexandra Thompson, MD
• Alison Skye Thompson, MS
• Alyssa Thompson

• Assisted Living Facility (Behavioral Disturbances) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.