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General NPI Number Information
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NPI Number | 1437096120
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Entity Type | Organization
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Legal Business Name | PROACTIVE THERAPY PARTNERS
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 2177 SALK AVE STE 175
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City | CARLSBAD
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State | CA
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Zip | 92008-7382
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Country | US
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Telephone | 760-994-9380
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 231026
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City | ENCINITAS
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State | CA
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Zip | 92023-1026
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Country | US
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Telephone | 760-994-9380
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHARON K THOMPSON
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Credential | PHD
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Telephone | 760-994-9380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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