Active NPI
Julie Diane Thompson, PSYD
- Clinical Psychologist
- Springfield, PA
National Provider Identifier
1528564986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS018478
- Practice address
- 1489 Baltimore Pike Ste 250
Springfield, PA 19064-3974 - Phone
- (610) 544-2110
- NPI assigned
- Apr 4, 2018
- Last updated
- Apr 4, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS018478 | PA | Primary |
Addresses
Primary practice location
1489 Baltimore Pike Ste 250
Springfield, PA 19064-3974
Mailing address
307 Ivy Rock LN
Havertown, PA 19083-2720
Phone (610) 220-5532
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS018478 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1528564986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 IVY ROCK LN",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190832720",
"telephone_number": "610-220-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1489 BALTIMORE PIKE STE 250",
"city": "SPRINGFIELD",
"state": "PA",
"postal_code": "190643974",
"telephone_number": "610-544-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JULIE",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS018478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.