Active NPI
Monique Thompson, PSYD
- Cognitive & Behavioral Psychologist
- Oakland, CA
National Provider Identifier
1235535568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 25685
- Practice address
- 5297 College Ave # 206
Oakland, CA 94618-1462 - Phone
- (510) 652-4455
- NPI assigned
- Nov 13, 2014
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 25685 | CA | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 25685 | CA | |
| Adult Development & Aging Psychologist | 103TA0700X | 25685 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 25685 | CA | Primary |
| Clinical Psychologist | 103TC0700X | 25685 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 25685 | CA | |
| Family Psychologist | 103TF0000X | 25685 | CA | |
| Health Psychologist | 103TH0004X | 25685 | CA | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 25685 | CA | |
| Group Psychotherapy Psychologist | 103TP2701X | 25685 | CA |
Addresses
Primary practice location
5297 College Ave # 206
Oakland, CA 94618-1462
Mailing address
484 Vassar Ave
Berkeley, CA 94708-1216
Phone (510) 847-6223
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25685 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415836800000",
"number": "1235535568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 VASSAR AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947081216",
"telephone_number": "510-847-6223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5297 COLLEGE AVE # 206",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181462",
"telephone_number": "510-652-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "MONIQUE",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-13",
"last_updated": "2014-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "25685",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "25685",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "CA",
"license": "25685",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "25685",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "25685",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "25685",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CA",
"license": "25685",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "CA",
"license": "25685",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "CA",
"license": "25685",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "25685",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.