Active NPI
Linda Marie Thompson, MFT
- Marriage & Family Therapist
- San Mateo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 40791
- Practice address
- 122 2ND Ave
San Mateo, CA 94401-3856 - Phone
- (650) 670-5108
- Fax
- (650) 458-8568
- NPI assigned
- Feb 1, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 40791 | CA | Primary |
Addresses
Primary practice location
122 2ND Ave
San Mateo, CA 94401-3856
Mailing address
PO Box 6293
San Mateo, CA 94403-0993
Phone (650) 670-5108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80610 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
18191 Von Karman Ave
Suite 100
Irvine, CA 92612-7103
Phone (619) 639-9730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40791 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mood Clinical, P. C. | Current | Accepting new patients |
Locations
18191 Von Karman Ave
Ste 100
Irvine, CA 92612
Phone (530) 889-7293
50 California St
Ste 1500
San Francisco, CA 94111
Phone (310) 648-0700
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356489777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6293",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944030993",
"telephone_number": "650-670-5108",
"fax_number": "650-458-8568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 2ND AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013856",
"telephone_number": "650-670-5108",
"fax_number": "650-458-8568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "LINDA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "40791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80610",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
- Sarah Thomas
- Seth Thomas
- Stephanie Thomas
- Kandace Thompson McDonald
- Candice Thompson, MMFT, LMFT
- Ebony Thorpe
- Three Angels Anesthesia Nursing Services Inc.
- Three Lotus Dragon Acupuncture Wellness Center PC (Dr. Jame'e Brazie'r L.A.c. DAOM)
- Thrifty Payless Inc (Rite Aid Pharmacy 05902)
- Thrifty Payless Inc (Rite Aid Pharmacy 05903)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.