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ALICIA THOMPSON MD PLLC NPI 1043590722


NPI Information

NPI: 1043590722
Provider Name: ALICIA THOMPSON MD PLLC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
15005 SALEM CREEK RD
EDMOND, OK
ZIP 73013
Phone: (405) 657-4537
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ALICIA THOMPSON MD PLLC is a child and adolescent psychiatry psychiatry neurology in Edmond, OK. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. ALICIA THOMPSON MD PLLC NPI is 1043590722. The provider is registered as an organization entity type.

The provider's business location address is:

15005 SALEM CREEK RD
EDMOND, OK
ZIP 73013-455
Phone: (405) 657-4537
Fax: (405) 347-7617

The provider's authorized official is Alicia D Thompson .
The authorized official title is Owner and has the following contact phone number (405) 657-4537.

The enumeration date for this NPI number is 8/25/2011 and was last updated on 2/7/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry25776OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100125890AMEDICAIDOKLAHOMA
2108326OTHERMISSOURIMEDICAL LISCENSE
325776OTHEROKLAHOMALISCENSE
4091050022MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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