Individual provider Active NPI

Tiffany Paige Thompson, LMFT, PHD, REEGT,

  • Health Psychologist
  • Santa Barbara, CA
National Provider Identifier
1700242070
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
PSY17334 Issued in CA
Practice address
1836 State St
Santa Barbara, CA 93101-2420
Phone
(301) 502-0211
NPI assigned
Jan 2, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT89425 CA
Health Psychologist 103TH0004X PSY17334 CA Primary

Addresses

Primary practice location

1836 State St
Santa Barbara, CA 93101-2420

Mailing address

535 E Montecito St
Santa Barbara, CA 93103-3216
Phone (301) 502-0211

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

State licenses

LicenseStateTypeSpecialty
LMFT89425CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gamma Jam Brainworks Marriage & Family Therapist CurrentSince Jan 28, 2024 Accepting new patients

Locations

1836 State St
Santa Barbara, CA 93101
Phone (301) 502-0211

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": "1451692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700242070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E MONTECITO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931033216",
            "telephone_number": "301-502-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012420",
            "telephone_number": "301-502-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TIFFANY",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "LMFT, PHD, REEGT,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT89425",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "PSY17334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.