Nancy S Thompson, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY202057 Issued in ID

Practice address

3350 W Americana Ter Ste 320
Boise, ID 83706-2548

Phone

(208) 841-1174

Fax

(208) 336-0333

NPI assigned

Aug 30, 2006

Last updated

Nov 25, 2023By the provider in NPPES

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

Other identifiers 2

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2018 through Jul 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychology Services of Idaho, PLLC

  • Psychologist
  • Meridian, ID
  • NPI 1437219227
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700870400000",
    "number": "1891805818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4072 S TALAVERA WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065671",
            "telephone_number": "208-841-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 W AMERICANA TER STE 320",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062548",
            "telephone_number": "208-841-1174",
            "fax_number": "208-336-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "NANCY",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-11-25",
        "certification_date": "2023-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY202057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010143783",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "N5533",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Erik Thompson, D.C.
• Marcy Thompson, LCPC, NCC
• Margaret M Thompson, PT
• Marietta Ione Bunn Thompson, M.D.
• Michelle Thompson
• Robert Alexander Thompson
• Ryan Thompson, DO
• Sandra A Thompson, MD
• Stephanie Larie Thompson, NP
• Victoria Thompson

• Clinical Psychologist in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2023; 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.

Verify at the official NPI Registry.