Diandra Alyssa Thompson, LSW

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

SW133272 Issued in PA

Practice address

6042 Washington Ave Apt 1
Philadelphia, PA 19143-2322

Phone

(215) 605-3636

NPI assigned

Jul 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1871272633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6042 WASHINGTON AVE APT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432322",
            "telephone_number": "215-605-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6042 WASHINGTON AVE APT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432322",
            "telephone_number": "215-605-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DIANDRA",
        "middle_name": "ALYSSA",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "PA",
            "license": "SW133272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Araina Thompson, LPN, AAHCA
• Ashley Thompson
• Breanna Lanai Thompson
• Cynthia Rhodes Thompson
• Danielle R Thompson, APN
• E. Michele Thompson, CRNP
• Elizabeth Diane Thompson, PT, PHD
• Emilie Thompson
• Eric Douglas Thompson Jr., M.D.
• Evan Thurston Thompson, PMHNP-BC

• Licensed Psychiatric Technician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Licensed Psychiatric Technician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.