Individual provider Active NPI

William Thomas Thompson, EDD

  • Psychologist
  • Cary, NC
National Provider Identifier
1295772481
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0881 Issued in NC
Practice address
160 Macgregor Pines Dr
Suite 206
Cary, NC 27511-6036
Phone
(919) 234-4468
Fax
(919) 234-4478
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0881 NC Primary

Addresses

Primary practice location

160 Macgregor Pines Dr
Suite 206
Cary, NC 27511-6036

Mailing address

4426 Johnson St
High Point, NC 27265-9370
Phone (336) 847-1130

Other identifiers 2

IdentifierTypeStateIssuer
680015719OtherNCRR MEDICARE
6000328MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20100111000551 NC Practitioner - Clinical Psychologist 6406997527 Practice locations: Cary, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

160 Macgregor Pines Dr
Suite 310
Cary, NC 27511-6037
Phone (919) 655-7597

2924 Tillinghast TRL
Raleigh, NC 27613-5411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: william.thompson.1@11943.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1295772481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 JOHNSON ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659370",
            "telephone_number": "336-847-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MACGREGOR PINES DR",
            "address_2": "SUITE 206",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116036",
            "telephone_number": "919-234-4468",
            "fax_number": "919-234-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "0881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "680015719",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000328",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.