David William Thompson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1588-057 Issued in WI

Practice address

197 W. Chestnut St., Ste 100
Burlington, WI 53105-1200

Phone

(262) 763-9191

Fax

(262) 763-7767

NPI assigned

Jul 4, 2006

Last updated

Mar 5, 2021By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Psychology Associates LLCGroup PAC ID 4284041740, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinical Psychology Associates, LLC

  dba Clinical Psychology Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burlington, WI
  • NPI 1619156502

  Psychologist

  Medicare reassignment Care Compare group NPD Authorized official
• Odyssey Healthcare Operating B, LP

  dba Gentiva

  • Community Based Hospice Care Agency
  • Coeur d'Alene, ID
  • NPI 1225487648
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1508896606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 W. CHESTNUT ST., STE 100",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051200",
            "telephone_number": "262-763-9191",
            "fax_number": "262-763-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 W. CHESTNUT ST., STE 100",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051200",
            "telephone_number": "262-763-9191",
            "fax_number": "262-763-7767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "WI",
            "postal_code": "531051228",
            "country_code": "US",
            "telephone_number": "262-763-9191 x11",
            "fax_number": "262-763-7767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1588-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39090800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitria Thiele, LAC, MSOM
• Heather Nicole Thomas, APNP
• Lori Jean Thomas, LMT
• Ann M Thompson, APNP
• Aubrey Elizabeth Thompson, MSW
• Rosemary A Thornton, CPM,LM
• Tim Caufield, PHD LLC
• Matthew Traber, PTA
• Tony Tang Tran, D.O.
• Katherine Trecker

• Psychologist in Burlington, WI
• Providers in Burlington, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.