Active NPI
Duane Hugh Thompson, MA, LP
- Psychologist
- New Brighton, MN
National Provider Identifier
1487832937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP1424
- Practice address
- 2475 15TH St NW
Suite F
New Brighton, MN 55112-5605 - Phone
- (763) 560-4860
- Fax
- (763) 503-1430
- NPI assigned
- Feb 7, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP1424 | MN | Primary |
Addresses
Primary practice location
2475 15TH St NW
Suite F
New Brighton, MN 55112-5605
Mailing address
2475 15TH Street NW
Suite F
New Brighton, MN 55112
Phone (763) 560-4860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1424 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1487832937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2475 15TH STREET NW",
"address_2": "SUITE F",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "55112",
"telephone_number": "763-560-4860",
"fax_number": "763-503-1430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 15TH ST NW",
"address_2": "SUITE F",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551125605",
"telephone_number": "763-560-4860",
"fax_number": "763-503-1430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "DUANE",
"middle_name": "HUGH",
"credential": "MA, LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-07",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP1424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Brighton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.