Provider Demographics
NPI:1568461515
Name:THOMPSON, JAMES P (PHD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 GESSNER STE 286
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-3898
Mailing Address - Country:US
Mailing Address - Phone:713-690-2955
Mailing Address - Fax:713-690-2853
Practice Address - Street 1:2600 GESSNER STE 286
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-3898
Practice Address - Country:US
Practice Address - Phone:713-690-2955
Practice Address - Fax:713-690-2853
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2-2452103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX033158901Medicaid
TX00F40CMedicare ID - Type UnspecifiedCLINICAL PSYCHOLOGIST