Active NPI
Alexandra J Thompson, PHD, CMPC
- Psychologist
- Cary, NC
National Provider Identifier
1174181721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 103312
- Practice address
- 111 Elkton Green CT
Cary, NC 27519-1588 - Phone
- (828) 713-3939
- NPI assigned
- May 30, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exercise & Sports Psychologist | 103TE1100X | 103312 | NC | |
| Psychologist | 103T00000X | 103312 | NC | Primary |
Addresses
Primary practice location
111 Elkton Green CT
Cary, NC 27519-1588
Mailing address
111 Elkton Green CT
Cary, NC 27519-1588
Phone (828) 713-3939
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103312 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1174181721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ELKTON GREEN CT",
"city": "CARY",
"state": "NC",
"postal_code": "275191588",
"telephone_number": "828-713-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 ELKTON GREEN CT",
"city": "CARY",
"state": "NC",
"postal_code": "275191588",
"telephone_number": "828-713-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ALEXANDRA",
"middle_name": "J",
"credential": "PHD, CMPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": "NC",
"license": "103312",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "103312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.