Organization Active NPI

Elizabeth Thompson

  • Community/Behavioral Health Agency
  • Stockton, CA
National Provider Identifier
1851824882
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
40957 Issued in CA
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.