Organization Active NPI

Wesley Thompson PSYD LLC

  • Psychologist
  • Columbia, MO
National Provider Identifier
1841663960
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2014031972 Issued in MO
Legal business name
WESLEY THOMPSON PSYD LLC
Practice address
2804 Forum Blvd
Ste 3a
Columbia, MO 65203-6322
Phone
(573) 446-6290
NPI assigned
Nov 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Authorized official

Name
Dr. Wesley Thompson, PSY.D.
Title
Psychologist/Owner
Phone
(573) 446-6290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 2014031972 MO Primary

Addresses

Primary practice location

2804 Forum Blvd
Ste 3a
Columbia, MO 65203-6322

Mailing address

2804 Forum Blvd
Ste 3a
Columbia, MO 65203-6322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1841663960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 FORUM BLVD",
            "address_2": "STE 3A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 FORUM BLVD",
            "address_2": "STE 3A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036322",
            "telephone_number": "573-446-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY THOMPSON PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "573-446-6290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2014031972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.