Individual provider Active NPI

Quincy James Thompson

  • Behavior Technician
  • Bay City, MI
National Provider Identifier
1982364667
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
3710 Katalin CT
Bay City, MI 48706-2160
Phone
(989) 324-2012
NPI assigned
Dec 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Technician 106S00000X MI Primary

Addresses

Primary practice location

3710 Katalin CT
Bay City, MI 48706-2160

Mailing address

3710 Katalin CT
Bay City, MI 48706-2160
Phone (989) 324-2012

Other practice location 1

3727 Wilder Rd
Bay City, MI 48706-2367
Phone (989) 860-5176

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

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Therapy Center, LLC CurrentSince Dec 22, 2024 Accepting new patients
Game Changer Pediatric Therapy Services LLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

3727 Wilder Rd
Bay City, MI 48706
Phone (989) 860-1425

3710 Katalin Ct
Bay City, MI 48706
Phone (989) 324-2012

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1982364667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 KATALIN CT",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062160",
            "telephone_number": "989-324-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 KATALIN CT",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062160",
            "telephone_number": "989-324-2012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3727 Wilder Rd",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487062367",
            "country_code": "US",
            "telephone_number": "989-860-5176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "QUINCY",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-22",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.