Individual provider Active NPI

Kenneth Thompson, M.D.

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1811956568
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD045742L Issued in PA
Practice address
200 JHF Dr
Pittsburgh, PA 15217-2950
Phone
(412) 422-7442
Fax
(412) 904-5025
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD045742L PA Primary

Addresses

Primary practice location

200 JHF Dr
Pittsburgh, PA 15217-2950

Mailing address

200 JHF Dr
Pittsburgh, PA 15217-2950
Phone (412) 422-7442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051104000350 PA Practitioner - Psychiatry 0941228217 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD045742LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Squirrel Hill Health Center CurrentSince Jan 1, 2016 Accepting new patients
Squirrel Hill Health Center CurrentSince Jan 1, 2016 Accepting new patients
Wpic Physician Practice Corp Inc Past Accepting new patients

Locations

200 Jhf Dr
Pittsburgh, PA 15217
Phone (412) 420-4000

4516 Browns Hill Rd
Pittsburgh, PA 15217
Phone (412) 422-7442

Interoperability endpoints

  • Direct secure messaging: kenneth.thompsonmd.p1@direct.squirrelhillhealth.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1811956568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JHF DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172950",
            "telephone_number": "412-422-7442",
            "fax_number": "412-904-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JHF DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172950",
            "telephone_number": "412-422-7442",
            "fax_number": "412-904-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD045742L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.