Individual provider Active NPI

Martha C. Tompson, PH.D.

  • Clinical Psychologist
  • Boston, MA
National Provider Identifier
1629298856
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7411 Issued in MA
Practice address
Boston University Psychology Department
648 Beacon Street, 4TH Floor
Boston, MA 02215
Phone
(617) 353-9495
Fax
(617) 353-9609
NPI assigned
Apr 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 7411 MA Primary

Addresses

Primary practice location

Boston University Psychology Department
648 Beacon Street, 4TH Floor
Boston, MA 02215

Mailing address

Boston University Psychology Department
648 Beacon Street, 4TH Floor
Boston, MA 02215
Phone (617) 353-9495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 1, 2019 through Nov 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7411MAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629298856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOSTON UNIVERSITY PSYCHOLOGY DEPARTMENT",
            "address_2": "648 BEACON STREET, 4TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-353-9495",
            "fax_number": "617-353-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOSTON UNIVERSITY PSYCHOLOGY DEPARTMENT",
            "address_2": "648 BEACON STREET, 4TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-353-9495",
            "fax_number": "617-353-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMPSON",
        "first_name": "MARTHA",
        "middle_name": "C.",
        "name_prefix": "Prof.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.