Active NPI
Elizabeth Thompson
- Community/Behavioral Health Agency
- Stockton, CA
National Provider Identifier
1851824882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 40957
- Legal business name
- ELIZABETH THOMPSON
- Practice address
- 149 W Stadium Dr
Stockton, CA 95204-3117 - Phone
- (209) 565-0756
- NPI assigned
- Apr 6, 2017
- Last updated
- Apr 6, 2017
- 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
- Mrs. Elizabeth Thompson, MFT
- Title
- Marriage Family Therapist
- Phone
- (209) 565-0756
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 40957 | CA | Primary |
Addresses
Primary practice location
149 W Stadium Dr
Stockton, CA 95204-3117
Mailing address
149 1/2 W Stadium Dr
Stockton, CA 95204-3117
Phone (209) 565-0756
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491436800000",
"number": "1851824882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 1/2 W STADIUM DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952043117",
"telephone_number": "209-565-0756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 W STADIUM DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952043117",
"telephone_number": "209-565-0756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIZABETH THOMPSON",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-06",
"last_updated": "2017-04-06",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "MARRIAGE FAMILY THERAPIST",
"authorized_official_telephone_number": "209-565-0756",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "40957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.