Individual provider Active NPI

James P Thompson, PH.D

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1568461515
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2-2452 Issued in TX
Practice address
2600 Gessner Ste 286
Houston, TX 77080-3898
Phone
(713) 690-2955
Fax
(713) 690-2853
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2-2452 TX Primary

Addresses

Primary practice location

2600 Gessner Ste 286
Houston, TX 77080-3898

Mailing address

2600 Gessner Ste 286
Houston, TX 77080-3898
Phone (713) 690-2955

Other identifiers 1

IdentifierTypeStateIssuer
033158901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100615000594 TX Practitioner - Clinical Psychologist 7113057324 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2600 Gessner
Suite 286
Houston, TX 77080-3898

2600 Gessner Rd
Suite 286
Houston, TX 77080-3898
Phone (713) 690-2955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2-2452TXMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1568461515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GESSNER STE 286",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770803898",
            "telephone_number": "713-690-2955",
            "fax_number": "713-690-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GESSNER STE 286",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770803898",
            "telephone_number": "713-690-2955",
            "fax_number": "713-690-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-2452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033158901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.