Active NPI
Laura Thoreson, PSY.D
- Clinical Psychologist
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 40055
- Practice address
- 3000 Polar LN Ste 101
Cedar Park, TX 78613-3065 - Phone
- (844) 824-8775
- NPI assigned
- May 21, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 26374 | CA | |
| Clinical Psychologist | 103TC0700X | 40055 | TX | Primary |
Addresses
Primary practice location
3000 Polar LN Ste 101
Cedar Park, TX 78613-3065
Mailing address
PO Box 2631
Guasti, CA 91743-2631
Other practice location 1
11100 4th St Apt G301
Rancho Cucamonga, CA 91730-0908
Phone (626) 688-0746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Polar LN
Suite 101
Cedar Park, TX 78613-3065
Phone (844) 824-8775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26374 | CA | MD | Massage Therapist |
| 40055 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Behavioral Health, PLLC | Clinical | Current | Accepting new patients |
Locations
3000 Polar Ln
Ste 101
Cedar Park, TX 78613
Phone (512) 201-4006
308 S Friendswood Dr
Ste 200
Friendswood, TX 77546
Phone (253) 346-0386
12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078
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": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1699187906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2631",
"city": "GUASTI",
"state": "CA",
"postal_code": "917432631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 POLAR LN STE 101",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133065",
"telephone_number": "844-824-8775"
}
],
"practiceLocations": [
{
"address_1": "11100 4th St Apt G301",
"address_purpose": "LOCATION",
"city": "Rancho Cucamonga",
"state": "CA",
"postal_code": "917300908",
"country_code": "US",
"telephone_number": "626-688-0746",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THORESON",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-21",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "26374",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "40055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.