Wendy L Thompson PHD PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301013656 Issued in MI

Legal business name

WENDY L THOMPSON PHD PLLC

Practice address

1207 Pearl St
Ypsilanti, MI 48197-4622

Phone

(734) 358-0477

Fax

(734) 436-0253

NPI assigned

Feb 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Wendy Lynn Thompson, PHDNPI 1104960632

Title

Clinical Psychologist

Phone

(734) 358-0477

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy Thompson, PHD

  • Clinical Psychologist
  • Ann Arbor, MI
  • NPI 1104960632
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1689913071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 PEARL ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974622",
            "telephone_number": "734-358-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 PEARL ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974622",
            "telephone_number": "734-358-0477",
            "fax_number": "734-436-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY L THOMPSON PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-358-0477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee Weise
• Walter Max Weisskopf
• Bryan Welch
• Mykeisha Wells
• Wellspring Healing Center, LLC
• Sophia Weng
• Tracey Debolt Wentz
• Kevin Wenzke, M.D.
• Jane C Werner, MD
• James Wesley

• Clinical Psychologist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.