Active NPI
Sarah Madeline Thompson, PHD
- Clinical Psychologist
- Santa Monica, CA
National Provider Identifier
1457799322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 34690
- Practice address
- 720 Wilshire Blvd Ste 204
Santa Monica, CA 90401-1737 - Phone
- (626) 344-2419
- NPI assigned
- Jun 12, 2013
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 34690 | CA | Primary |
Addresses
Primary practice location
720 Wilshire Blvd Ste 204
Santa Monica, CA 90401-1737
Mailing address
720 Wilshire Blvd Ste 204
Santa Monica, CA 90401-1737
Phone (626) 344-2419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 10, 2025 through Apr 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34690 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1457799322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 WILSHIRE BLVD STE 204",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011737",
"telephone_number": "626-344-2419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 WILSHIRE BLVD STE 204",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011737",
"telephone_number": "626-344-2419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "SARAH",
"middle_name": "MADELINE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "34690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.