Jeffrey William Thompson, MSW CSW

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

6801063750 Issued in MI

Practice address

167 Leota Blvd
Waterford, MI 48327-3631

Phone

(248) 310-7081

NPI assigned

Nov 13, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jeffrey William Thompson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1467965418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 LEOTA BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483273631",
            "telephone_number": "248-310-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 LEOTA BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483273631",
            "telephone_number": "248-310-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MSW CSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6801063750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "THOMPSON",
            "middle_name": "WILLIAM",
            "prefix": "MR.",
            "credential": "MSW CSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hanadi Lee Thomas
• John L Thomas Jr., CAC1
• Kelsey Thomas
• Michelle Thomas, NP
• Rose Thomas
• Mateen Threlkeld, MASSAGE THERAPIST
• Diana L Tige
• Annamarie Till, MS, LLPC, CAADC-DP
• Marisol C Timtiman, MD
• Shibani Tipnis, MSN, FNP-C

• Clinical Child & Adolescent Psychologist in Waterford, MI
• Providers in Waterford, MI by specialty
• Clinical Child & Adolescent Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.