Individual provider Active NPI

Rebecca E. Thompson, PSY.D.

  • Clinical Neuropsychologist
  • Napa, CA
National Provider Identifier
1508841925
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY 20610 Issued in CA
Practice address
1303 Jefferson St
Suite 210a
Napa, CA 94559-2442
Phone
(707) 255-7786
Fax
(707) 252-1092
NPI assigned
Dec 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY 20610 CA Primary

Addresses

Primary practice location

1303 Jefferson St
Suite 210a
Napa, CA 94559-2442

Mailing address

1303 Jefferson St
Suite 210a
Napa, CA 94559-2442
Phone (707) 255-7786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060201000221 CA Practitioner - Clinical Psychologist 9739193541 Practice locations: Napa, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1303 Jefferson St
Suite 210a
Napa, CA 94559-2470
Phone (707) 255-7786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20610CAMDMental Health Counselor
PSY 20610CAMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1508841925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 JEFFERSON ST",
            "address_2": "SUITE 210A",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945592442",
            "telephone_number": "707-255-7786",
            "fax_number": "707-252-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 JEFFERSON ST",
            "address_2": "SUITE 210A",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945592442",
            "telephone_number": "707-255-7786",
            "fax_number": "707-252-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "REBECCA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY 20610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.