Carolina Deniece Thompson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

37055 Issued in TX

Practice address

12700 Northborough Dr
6TH Floor
Houston, TX 77067-2552

Phone

(832) 881-1264

NPI assigned

Jul 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Transformational Healthcare Services

  • Mental Health Counselor
  • Glen Ridge, NJ
  • NPI 1669082756

  TX

  Medicare reassignment NPD
• Shine Medical of Ca PC

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1942935473
  NPD (past)
• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1154706406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 NORTHBOROUGH DR",
            "address_2": "6TH FLOOR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770672552",
            "telephone_number": "832-881-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 NORTHBOROUGH DR",
            "address_2": "6TH FLOOR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770672552",
            "telephone_number": "832-881-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CAROLINA",
        "middle_name": "DENIECE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336809401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Claire Thompson, LPC-A
• Brandon Thompson, LSA
• Brandon S Thompson, M.D.
• Briona Arrion Thompson, MD
• Caleb Joseph Thompson, DPT
• Cecilia Antoinette Thompson, APRN
• Charles W Thompson IV, PAC
• Cheril P Thompson, PHD
• Christopher Isacc Thompson
• Constance Marie Thompson, LPC

• Clinical Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.