Active NPI
Wesley Thompson PSYD LLC
- Psychologist
- Columbia, MO
National Provider Identifier
1841663960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2014031972
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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 DirectoryNPI 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.