DR. NIVONNE THOMPSON


Address: 2121 Lake Ave, Fort Wayne, IN 46805-5100
Phone: 2604265431

DR. NIVONNE THOMPSON (NPI# 1841524105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841524105
Entity Type Individual
Full Name DR. NIVONNE THOMPSON
Credential PHD
Practice Address 2121 Lake Ave
Fort Wayne
IN 46805-5100
Practice Telephone 2604265431
Mailing Telephone 2604265431
Enumeration Date 2009-09-18
Last Update Date 2013-03-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers

Office Location

Street Address 2121 LAKE AVE
City FORT WAYNE
State IN
Zip Code 46805-5100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124021100 Karen F Sloane Podiatrist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2005-05-24
1346848348 Jodi Lyn Van Veld Occupational Therapist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-10-12
1346854213 Amy Solaro Social Worker 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-09-08
1144831116 Ann Marie Brunner Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-08-13
1871104042 Lynne Koch Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-08-12
1790396950 Joseph Amin Samy Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-08-12
1144831678 Youlijan Samy Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-08-10
1881204139 Lawrence Ejiofo Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-08-03
1821606575 Nazret Tecle Optometrist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-07-20
1689291619 Adam Kreiger Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589546 Connor Gemlick Student in an Organized Health Care Education/Training Program 1918 Carew St., Fort Wayne, IN 46805 2020-08-21
1710464086 S.t.a.r. Care Services Clinic/Center 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 2018-07-19
1083122865 Noel Shafi Counselor 3010 East State Boulevard, Fort Wayne, IN 46805 2018-01-16
1063963627 Toni L Irby Specialist 3219 E State Blvd, Fort Wayne, IN 46805 2016-10-19
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1063817104 Michale Diane Rothgeb Physical Therapy Assistant 2200 Randollia Dr, Fort Wayne, IN 46805 2014-10-31
1124435789 Julia I. Mcfann Physical Therapist 2200 Randalia Dr, Fort Wayne, IN 46805 2014-07-16
1083036974 Capital Senior Living Properties 4, Inc. Assisted Living Facility 3320 East State Boulevard, Fort Wayne, IN 46805 2014-01-10
1356772396 Alexander James Medical Supply Durable Medical Equipment & Medical Supplies 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 2013-12-02
1043595689 Randy James Jennings Pharmacist 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 2011-10-14
Find all providers in zip 46805

Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619275807 Renee Elizabeth Buskirk Clinical Neuropsychologist 11143 Parkview Plaza Dr Ste 207, Fort Wayne, IN 46845-1728 2011-03-11
1780681254 Frances R. Goff Clinical Neuropsychologist 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1730 2005-06-30
1972508471 Matthew Paul Ziccardi Clinical Neuropsychologist 2200 Randallia Dr, Fort Wayne, IN 46805 2005-06-20
1366911000 Margarita M Nogin Clinical Neuropsychologist 4306 E State Blvd, Fort Wayne, IN 46815-6915 2018-11-23
1699196519 Erin Miles Clinical Neuropsychologist 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 2013-12-19
1164860052 Jacob Thomas Lutz Clinical Neuropsychologist 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 2013-06-13
1689995334 Allied Physicians Inc Clinical Neuropsychologist 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2010-06-17
1669701793 Christina M. Stemmler Clinical Neuropsychologist 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1730 2009-12-21
1205098100 Allied Physicians Inc Clinical Neuropsychologist 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2008-07-01
1134241227 John J Brinkman Jr. Clinical Neuropsychologist 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2007-04-06
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46805

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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