Michelle Lea Thompson Iyamah, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2659057 Issued in WI

Practice address

1233 N Mayfair Rd
Wauwatosa, WI 53226-3255

Phone

(414) 302-1233

Fax

(414) 306-2922

NPI assigned

Jul 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Michelle Lea Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1811127251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9541 S WINCHESTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431113",
            "telephone_number": "708-203-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N MAYFAIR RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263255",
            "telephone_number": "414-302-1233",
            "fax_number": "414-306-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON IYAMAH",
        "first_name": "MICHELLE",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071004708",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2659057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "THOMPSON",
            "middle_name": "LEA",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Thiel
• Elizabeth Megan Thimm, PHARMD
• Catherine Thomas, LPN
• Scott D Thomas, LPC
• Upton Thomas, M.D.
• Nancy J Thompson-Quandt, RN,PNP
• Amber S Thompson, L. AC
• Ashley Thompson, LPC, LPCC
• Daniel J Thompson, MD
• Troy H Thoong, DDS

• Psychologist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.