Organization Active NPI

Omar Thompson Oral Thompson

  • Adolescent and Children Mental Health Clinic/Center
  • Boston, MA
National Provider Identifier
1396381539
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
OMAR THOMPSON ORAL THOMPSON
Practice address
20 Goodale Rd Apt 2
Boston, MA 02126-1788
Phone
(617) 785-9459
NPI assigned
Nov 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Authorized official

Name
Omar Thompson
Title
Mentor
Phone
(617) 785-9459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

20 Goodale Rd Apt 2
Boston, MA 02126-1788

Mailing address

20 Goodale Rd Apt 2
Boston, MA 02126-1788
Phone (617) 785-9459

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1396381539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GOODALE RD APT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021261788",
            "telephone_number": "617-785-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GOODALE RD APT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021261788",
            "telephone_number": "617-785-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR THOMPSON ORAL THOMPSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "MENTOR",
        "authorized_official_telephone_number": "617-785-9459"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.