Active NPI
Ashton Pierce Thompson, D.O.
- Psychiatry Physician
- Wilton Manors, FL
National Provider Identifier
1891128732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0514417
- Practice address
- 2449 NE 13TH Ave
Wilton Manors, FL 33305 - Phone
- (954) 355-9381
- Fax
- (954) 724-6258
- NPI assigned
- Aug 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | OS14417 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | U03433 | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | U03433 | FL | |
| Psychiatry Physician | 2084P0800X | 0514417 | FL | Primary |
Addresses
Primary practice location
2449 NE 13TH Ave
Wilton Manors, FL 33305
Mailing address
2449 NE 13TH Ave
Wilton Manors, FL 33305
Phone (954) 355-9381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS14417 | Other | FL | STATE LICENSE DEPT HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 12, 2020 through Oct 12, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0514417 | FL | MD | Psychiatry Physician |
| U03433 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adjuva Psychiatry | Psychiatry | Current | Accepting new patients |
Locations
2449 NE 13th Ave
Wilton Manors, FL 33305
Phone (954) 295-2694
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Wilton Manors, FL
- NPI 1407545452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1891128732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2449 NE 13TH AVE",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "33305",
"telephone_number": "954-355-9381",
"fax_number": "954-724-6258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2449 NE 13TH AVE",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "33305",
"telephone_number": "954-355-9381",
"fax_number": "954-724-6258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ASHTON",
"middle_name": "PIERCE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-14",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "FL",
"license": "OS14417",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": "U03433",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "U03433",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "0514417",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE DEPT HEALTH",
"identifier": "OS14417",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilton Manors, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.