Juan Michael Thompson, PHD

Individual provider Active NPI Counseling Psychologist · Falkville, AL

NPI 1700168358 · NPPES record last updated Sep 9, 2011

Key facts

NPI
1700168358
Entity type
Individual (NPI type 1)
Primary specialty
Counseling Psychologist 103TC1900X
License
1701 (AL)
Practice address
4087 Highway 31 SW
Falkville, AL 35622-6319
Phone
(256) 466-1546
NPI assigned
Sep 9, 2011
Sex
Male
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Psychology Group, LLC Counseling Past
since Sep 6, 2011
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1701 AL Yes

Addresses

Primary practice location

4087 Highway 31 SW
Falkville, AL 35622-6319

Mailing address

4087 Highway 31 SW
Falkville, AL 35622-6319
Phone (256) 466-1546

Other providers in Falkville, AL

All providers in Falkville, AL · Counseling Psychologist in Alabama

Sources for this page

Verify at the official NPI Registry.