Individual provider Active NPI

Carolyn J Tompsett, PH.D.

  • Clinical Psychologist
  • Bowling Green, OH
National Provider Identifier
1689982522
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6697 Issued in OH
Practice address
822 E Merry Street Bowling Green State University
300 Psychology Building
Bowling Green, OH 43403-0232
Phone
(419) 372-2540
Fax
(419) 372-2533
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6697 OH Primary
Clinical Child & Adolescent Psychologist 103TC2200X

Addresses

Primary practice location

822 E Merry Street Bowling Green State University
300 Psychology Building
Bowling Green, OH 43403-0232

Mailing address

822 East Merry Street Bowling Green State University
300 Psychology Building
Bowling Green, OH 43403-0232
Phone (419) 372-2540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bowling Green State University Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1689982522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 EAST MERRY STREET BOWLING GREEN STATE UNIVERSITY",
            "address_2": "300 PSYCHOLOGY BUILDING",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434030232",
            "telephone_number": "419-372-2540",
            "fax_number": "419-372-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 E MERRY STREET BOWLING GREEN STATE UNIVERSITY",
            "address_2": "300 PSYCHOLOGY BUILDING",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434030232",
            "telephone_number": "419-372-2540",
            "fax_number": "419-372-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMPSETT",
        "first_name": "CAROLYN",
        "middle_name": "J",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6697",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.