NPIMap

Organization Active NPI

Thompson Child and Family Focus

  • Child & Adolescent Psychiatry Physician
  • Charlotte, NC
National Provider Identifier
1194962548
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
THOMPSON CHILD AND FAMILY FOCUS
Practice address
769 N Wendover Rd
Charlotte, NC 28211-1118
Phone
(704) 536-0375
Fax
(704) 531-9266
NPI assigned
Jan 7, 2009
Last updated
Dec 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Authorized official

Name
Mary Elizabeth Porras Kantrowitz
Title
Accounts Receivable
Phone
(704) 536-0375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X NU Primary

Addresses

Primary practice location

769 N Wendover Rd
Charlotte, NC 28211-1118

Mailing address

6800 Saint Peters LN
Matthews, NC 28105-8458
Phone (704) 536-0375

Other identifiers 1

IdentifierTypeStateIssuer
00000OtherNCWAITING ON MEDICAID NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Thompson Child and Family Focus28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1194962548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 SAINT PETERS LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058458",
            "telephone_number": "704-536-0375",
            "fax_number": "704-531-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 N WENDOVER RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111118",
            "telephone_number": "704-536-0375",
            "fax_number": "704-531-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON CHILD AND FAMILY FOCUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "PORRAS KANTROWITZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "704-536-0375"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAITING ON MEDICAID NUMBER",
            "identifier": "00000",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.