Active NPI
Martha C. Tompson, PH.D.
- Clinical Psychologist
- Boston, MA
National Provider Identifier
1629298856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7411
- 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
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 | 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7411 | MA | MD | Occupational 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.