Heidi Marie Thompson, PHD LICENSED PSYCHOL

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0511P Issued in AR

Practice address

306 Salem Rd
Suite 105
Conway, AR 72034-6159

Phone

(501) 733-0829

Fax

(501) 358-4368

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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 Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1821172115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 SALEM RD",
            "address_2": "SUITE 105",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346159",
            "telephone_number": "501-733-0829",
            "fax_number": "501-358-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 SALEM RD",
            "address_2": "SUITE 105",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346159",
            "telephone_number": "501-733-0829",
            "fax_number": "501-358-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "credential": "PHD LICENSED PSYCHOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "0511P",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "0511P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlie M Thomason, CRNA
• Donna Thomason, OTRL
• Anjerica Thompson, RECOVERY ASSISTANT
• Connor Christian Thompson
• Emily Elizabeth Thompson
• Jason Thompson
• Karen Nichole Thompson, R.D., L.D.
• Layten Faith Thompson, RBT
• Lillian Rae Thompson
• Rachel Brook Thompson, OTRL

• Clinical Psychologist in Conway, AR
• Providers in Conway, AR by specialty
• Clinical Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.