Rachel Thompson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05092 Issued in MD

Practice address

8815 Centre Park Dr Ste 120
Columbia, MD 21045-2283

Phone

(410) 910-9660

NPI assigned

Jun 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2021 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Levi Y. Breuer, Psy.D.

  • Community/Behavioral Health Agency
  • Columbia, MD
  • NPI 1083901128
  NPD (past)

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1598027641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 CENTRE PARK DR STE 120",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452283",
            "telephone_number": "410-910-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 CENTRE PARK DR STE 120",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452283",
            "telephone_number": "410-910-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "RACHEL",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Thompson
• Kathleen Thompson
• Kelly Koontz Thompson
• Kent Thompson Jr., BCBA
• Laila Takia Thompson
• Raven Faith-Lynn Thompson
• Rodrigo Santos Thompson
• Simone Thorne
• Laurie Ann Thorner, LCSW-C
• Jason Thornton

• Clinical Psychologist in Columbia, MD
• Providers in Columbia, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.