Individual provider Active NPI

Tara G Thompson, PSYD

  • Clinical Psychologist
  • Frisco, TX
National Provider Identifier
1174674501
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8628 Issued in FL
Practice address
5300 Town and Country Blvd Ste 240
Frisco, TX 75034-1008
Phone
(773) 879-8272
NPI assigned
Jan 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY8628 FL Primary
Clinical Psychologist 103TC0700X 71007131 IL

Addresses

Primary practice location

5300 Town and Country Blvd Ste 240
Frisco, TX 75034-1008

Mailing address

2591 SE 15TH St
Pompano Beach, FL 33062-7504
Phone (773) 879-8272

Other names 1

  • Tara Kathleen Gidney Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210609001080 TX Practitioner - Clinical Psychologist 1052417714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1820 Preston Park Blvd
Suite 2200
Plano, TX 75093-3614
Phone (773) 879-8272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71007131ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Frisco Psychology Group Inc CurrentSince May 17, 2021 Accepting new patients
Park Ridge Counseling LLC Clinical PastSince Oct 27, 2008 Accepting new patients
Presence Behavioral Health Past Accepting new patients
Aspen Behavioral Care Clinical PastSince Jul 31, 2013 Accepting new patients

Locations

1820 Preston Park Blvd
Plano, TX 75093
Phone (210) 413-7479

1820 Preston Park Blvd
Ste 2200
Plano, TX 75093
Phone (469) 636-7655

Organizations & group practices 4

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": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1174674501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 SE 15TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627504",
            "telephone_number": "773-879-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 TOWN AND COUNTRY BLVD STE 240",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341008",
            "telephone_number": "773-879-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TARA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8628",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "71007131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "GIDNEY",
            "middle_name": "KATHLEEN",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.