Active NPI
Katie Thompson
- Clinical Psychologist
- Bardstown, KY
National Provider Identifier
1972972941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 171243
- Practice address
- 331 S 3Rd St
Bardstown, KY 40004-1032 - Phone
- (502) 349-6057
- NPI assigned
- Sep 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 171243 | KY | Primary |
| Clinical Psychologist | 103TC0700X | PSYPAT00222503 | KY |
Addresses
Primary practice location
331 S 3Rd St
Bardstown, KY 40004-1032
Mailing address
107 Cranes Roost CT
Elizabethtown, KY 42701-3650
Phone (270) 765-2605
Other practice location 1
1405 E Burnett Ave
Louisville, KY 40217-1577
Phone (502) 588-8522
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
| License | State | Type | Specialty |
|---|---|---|---|
| 171243 | KY | MD | Clinical Psychologist |
| PSYPAT00222503 | KY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1972972941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CRANES ROOST CT",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427013650",
"telephone_number": "270-765-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 S 3RD ST",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400041032",
"telephone_number": "502-349-6057"
}
],
"practiceLocations": [
{
"address_1": "1405 E Burnett Ave",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402171577",
"country_code": "US",
"telephone_number": "502-588-8522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-21",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "171243",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "PSYPAT00222503",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.