Healthcare Provider Details

I. General information

NPI: 1861637787
Provider Name (Legal Business Name): LINDSEY THOMPSON PSY. D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2008
Last Update Date: 12/18/2020
Certification Date: 12/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CROW CANYON CT STE 200
SAN RAMON CA
94583-1641
US

IV. Provider business mailing address

4368 LINCOLN AVE
OAKLAND CA
94602-2529
US

V. Phone/Fax

Practice location:
  • Phone: 925-558-2224
  • Fax:
Mailing address:
  • Phone: 510-531-3111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number32005
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: