Individual provider

DEREK DEVAN THOMPSON, M.A. LMHC

CMS NPPES lists DEREK DEVAN THOMPSON as an individual provider record with NPI 1619104403. The current record reports a primary practice location in ADAMS CENTER, NY and primary taxonomy code 101YM0800X.

NPI 1619104403Record type Type 1Primary taxonomy 101YM0800X

Type 1 NPIs identify individual healthcare providers. How to read this profile

01

Practice locations

  1. Primary practice location
    19750 MINKLER RDADAMS CENTER, NY 136063122

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 103TC1900XAdditional reported taxonomy
  • 101YM0800XPrimary reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
June 18, 2009

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.