Individual provider Active NPI

Henry C Thompson II, ED.S.

  • School Psychologist
  • Summerville, SC
National Provider Identifier
1912422296
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
506699 Issued in SC
Practice address
115 Devon Rd
Summerville, SC 29483-9346
Phone
(843) 873-2901
NPI assigned
Aug 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 506699 SC Primary

Addresses

Primary practice location

115 Devon Rd
Summerville, SC 29483-9346

Mailing address

9613 N Carousel Cir
Summerville, SC 29485-9002
Phone (843) 469-4041

Other practice location 1

109 E Main St
Moncks Corner, SC 29461-3764
Phone (843) 899-8890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
506699SCMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1912422296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 N CAROUSEL CIR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294859002",
            "telephone_number": "843-469-4041",
            "fax_number": "843-486-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 DEVON RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294839346",
            "telephone_number": "843-873-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 E Main St",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294613764",
            "country_code": "US",
            "telephone_number": "843-899-8890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "HENRY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-08",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "SC",
            "license": "506699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.