Celena Louise Thompson, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810000230 Issued in VA

Practice address

177 Squire Reach
Suffolk, VA 23434-8160

Phone

(757) 934-2123

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Psychologist

Education

Wright State University Boonshoft School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Betty Eastman LCSW and Associates IncGroup PAC ID 6002989928, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Betty Eastman LCSW and Associates Inc

  • Clinical Social Worker
  • Poquoson, VA
  • NPI 1265609887
  Medicare reassignment Care Compare group NPD
• Betty Eastman, LCSW and Associates, Inc

  • Clinical Social Worker
  • Poquoson, VA
  • NPI 1164240305
  NPD
• T Med Behavioral Inc

  • Clinical Psychologist
  • Fairfax, VA
  • NPI 1497719272
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1245244128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 WYTHE CREEK RD STE C",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621975",
            "telephone_number": "757-373-6328",
            "fax_number": "757-868-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 SQUIRE REACH",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348160",
            "telephone_number": "757-934-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CELENA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS VA",
            "identifier": "188615",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010242681",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7707037",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Jack Thomas III
• Phillip Ray Thomason, MD
• Blair Tyson Thomasson, D.P.T
• Thompson Therapy Services, LLC
• Angela J Thompson, PA
• Juliette Marie Thompson, LPC
• Tajh-Marie Thompson, MSW, LCSW
• Patricia Rae Thornes, LPC
• Benita Lechell Thornhill, MA, LPC
• Thrive Behavioral Consulting, LLC

• Clinical Psychologist in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.