Active NPI
Clara Maria Thompson, PSY.D.
- Clinical Psychologist
- Mount Juliet, TN
National Provider Identifier
1508603374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3763
- Practice address
- 6004 Crestview CT
Mount Juliet, TN 37122-6351 - Phone
- (786) 213-1612
- NPI assigned
- Jul 10, 2024
- 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 | 3763 | TN | Primary |
Addresses
Primary practice location
6004 Crestview CT
Mount Juliet, TN 37122-6351
Mailing address
6004 Crestview CT
Mount Juliet, TN 37122-6351
Phone (786) 213-1612
Other practice location 1
5511 Edmondson Pike Ste 105
Nashville, TN 37211-6852
Phone (615) 560-1331
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopebridge LLC | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1508603374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6004 CRESTVIEW CT",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371226351",
"telephone_number": "786-213-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6004 CRESTVIEW CT",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371226351",
"telephone_number": "786-213-1612"
}
],
"practiceLocations": [
{
"address_1": "5511 Edmondson Pike Ste 105",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372116852",
"country_code": "US",
"telephone_number": "615-560-1331",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "CLARA",
"middle_name": "MARIA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-10",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "3763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.