Angela Marie Thompson, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301012672 Issued in MI

Practice address

1606 S Burdick St
Kalamazoo, MI 49001-2712

Phone

(269) 552-3440

Fax

(269) 552-5586

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Angela Marie Canup Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1972681310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 S 9TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490097939",
            "telephone_number": "269-870-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 S BURDICK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012712",
            "telephone_number": "269-552-3440",
            "fax_number": "269-552-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012672",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6301012672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "CANUP",
            "middle_name": "MARIE",
            "credential": "LLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina Thomason, LMSW
• Ravi Thombre, DO
• Shalom Thompkins
• Thompson Tutoring, LLC
• Amanda Thompson
• Ashley Thompson, N.P.
• Deanna Thompson
• Elena Thompson
• Evelyn Thompson
• Julia Evelyn Thompson

• Clinical Psychologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.