Active NPI
Pam Thompson
- Clinical Psychologist
- Culver City, CA
National Provider Identifier
1831236918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY8367
- Practice address
- 6101 W Centinela Ave
Suite 150
Culver City, CA 90230-6337 - Phone
- (310) 988-1970
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY8367 | CA | Primary |
Addresses
Primary practice location
6101 W Centinela Ave
Suite 150
Culver City, CA 90230-6337
Mailing address
6101 W Centinela Ave
Suite 150
Culver City, CA 90230-6337
Phone (310) 988-1970
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY8367 | CA | MD | Clinical Psychologist |
| 8367 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1831236918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 W CENTINELA AVE",
"address_2": "SUITE 150",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306337",
"telephone_number": "310-988-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 W CENTINELA AVE",
"address_2": "SUITE 150",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306337",
"telephone_number": "310-988-1970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "PAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY8367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.