Individual provider Active NPI

Frances Lindsay Thompson, PSYD

  • Psychologist
  • Myrtle Beach, SC
National Provider Identifier
1700073624
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY1811PSY Issued in SC
Practice address
2411 N Oak St Ste 205F
Myrtle Beach, SC 29577-3164
Phone
(843) 212-6995
NPI assigned
Sep 25, 2007
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6372 NC
Psychologist 103T00000X 7538970-2501 UT
Psychologist 103T00000X PSY1811PSY SC Primary

Addresses

Primary practice location

2411 N Oak St Ste 205F
Myrtle Beach, SC 29577-3164

Mailing address

2411 N Oak St Ste 209F
Myrtle Beach, SC 29577-3173
Phone (843) 212-6995

Other practice location 1

9119 S Monroe Plaza Way
Sandy, UT 84070-2682
Phone (843) 212-6995

Other names 1

  • Frances Lindsay Graeven Former name

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

State licenses

LicenseStateTypeSpecialty
PSY1811PSYSCMDPsychologist
7538970-2501UTMDPsychologist
6372NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Square One Psychological Assessment & Supervision Services PastSince Jun 1, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1700073624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 N OAK ST STE 209F",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773173",
            "telephone_number": "843-212-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 N OAK ST STE 205F",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773164",
            "telephone_number": "843-212-6995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9119 S Monroe Plaza Way",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840702682",
            "country_code": "US",
            "telephone_number": "843-212-6995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "FRANCES",
        "middle_name": "LINDSAY",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "6372",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "7538970-2501",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SC",
            "license": "PSY1811PSY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCES",
            "last_name": "GRAEVEN",
            "middle_name": "LINDSAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.