Organization Active NPI

Russel Thompson, PHD & Associates PC

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1932431350
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32230 Issued in TX
Legal business name
RUSSEL THOMPSON, PHD & ASSOCIATES PC
Practice address
7400 Blanco Road
Suite 126
San Antonio, TX 78216-3500
Phone
(210) 699-8700
NPI assigned
Feb 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Russel Thompson, PH.D.NPI 1003912924
Title
President
Phone
(210) 699-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 32230 TX Primary

Addresses

Primary practice location

7400 Blanco Road
Suite 126
San Antonio, TX 78216-3500

Mailing address

PO Box 460875
San Antonio, TX 78246-0875
Phone (210) 699-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110419000379 TX Part B Supplier - Clinic/Group Practice 3072798974 Receives reassigned benefits from 4 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1932431350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460875",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782460875",
            "telephone_number": "210-699-8700",
            "fax_number": "210-587-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BLANCO ROAD",
            "address_2": "SUITE 126",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163500",
            "telephone_number": "210-699-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSEL THOMPSON, PHD & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "RUSSEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-699-8700",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.