Carol L Thompson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

062351 Issued in NY

Practice address

510 Haight Avenue
Suite 203 Spectrum Behavioral Management Serv Inc
Poughkeepsie, NY 12603-2408

Phone

(845) 485-3500

Fax

(845) 485-8780

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectrum Psychotherapy Services LCSW PLLCGroup PAC ID 8325289192, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spectrum Psychotherapy Services LCSW, PLLC

  • Clinical Social Worker
  • Poughkeepsie, NY
  • NPI 1255496741
  Medicare reassignment Care Compare group NPD
• Spectrum Behavioral Management Services, Inc.

  • Cognitive & Behavioral Psychologist
  • Poughkeepsie, NY
  • NPI 1629051149

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770699274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DANIS AVENUE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032408",
            "telephone_number": "845-485-3500",
            "fax_number": "845-485-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HAIGHT AVENUE",
            "address_2": "SUITE 203 SPECTRUM BEHAVIORAL MANAGEMENT SERV INC",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032408",
            "telephone_number": "845-485-3500",
            "fax_number": "845-485-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CAROL",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "062351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRAT",
            "identifier": "1033150",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "499716",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEH HEALTH",
            "identifier": "2182701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH CARE",
            "identifier": "699170",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shashaunna Martina Thomas, LPN
• Deborah Jean Thomison, RN
• Shanika Thomison, LPN
• Andrew Thompson
• Audi Tecora Thompson, FNP-C
• Kisha N Thompson, CRNA
• Melissa L Thompson, RN
• Morgan Thompson, LPN
• Nicole Thompson
• Ramon Thompson

• Clinical Social Worker in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.