Active NPI
Sally Elizabeth Thigpen, PH.D.
- Psychologist
- Ruston, LA
National Provider Identifier
1285940346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 476
- Practice address
- 203 S Vienna St
Ruston, LA 71270-4442 - Phone
- (318) 254-1234
- Fax
- (318) 254-1235
- NPI assigned
- Aug 27, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1027 | LA | |
| Psychologist | 103T00000X | 476 | LA | Primary |
Addresses
Primary practice location
203 S Vienna St
Ruston, LA 71270-4442
Mailing address
203 S Vienna St
Ruston, LA 71270-4442
Phone (318) 254-1234
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 476 | LA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Psychological Services | Professional | Past | Accepting new patients |
Organizations & group practices 1
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": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282867200000",
"number": "1285940346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 S VIENNA ST",
"city": "RUSTON",
"state": "LA",
"postal_code": "712704442",
"telephone_number": "318-254-1234",
"fax_number": "318-254-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 S VIENNA ST",
"city": "RUSTON",
"state": "LA",
"postal_code": "712704442",
"telephone_number": "318-254-1234",
"fax_number": "318-254-1235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIGPEN",
"first_name": "SALLY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-27",
"last_updated": "2010-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "1027",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "LA",
"license": "476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.