Benjamin Thompson, PHD, LADC-1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

19601 Issued in MA

Practice address

1 Washington Mall # 1271
Boston, MA 02108-2616

Phone

(857) 318-2365

NPI assigned

May 6, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1194309203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON MALL # 1271",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082616",
            "telephone_number": "857-318-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON MALL # 1271",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082616",
            "telephone_number": "857-318-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "PHD, LADC-1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "19601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "benjamin.thompson@yale.edu",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Washington Mall # 1271",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021082616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nancy Alice Thompson-Kassels, LICSW
• Adora Rose Thompson
• Alice Chinn Thompson
• Anna-Kay Kerry Thompson
• Avery Antonia Thompson, MD
• Boyd Taylor Thompson, MD
• Caroline Thompson
• Christianne Sprague Thompson, CNP
• Christine Thompson, MD
• Christopher C Thompson, M.D., M.S.

• Addiction (Substance Use Disorder) Counselor in Boston, MA
• Providers in Boston, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.