Derek Devan Thompson, MA LMHC is a
Counselor - Mental Health based in Adams Center, New York. Derek Devan Thompson is licensed to practice in New York (license number 007172) and his current practice location is
19750 Minkler Rd, Adams Center, New York. He can be reached at his office (for appointments etc.) via phone at
(956) 401-8650.
NPI number for Derek Devan Thompson is 1619104403 and his current mailing address is 19750 Minkler Rd, Adams Center, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619104403.
Healthcare Provider's Profile
Full Name | Derek Devan Thompson |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 19750 Minkler Rd, Adams Center, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619104403
- Provider Enumeration Date: 06/18/2009
- Last Update Date: 09/12/2022
Medical Identifiers
Medical identifiers for Derek Devan Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619104403 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | 6301014190 (Michigan) | Secondary |
101YM0800X | Counselor - Mental Health | 007172 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derek Devan Thompson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Derek Devan Thompson, MA LMHC 19750 Minkler Rd, Adams Center, NY 13606-3122 Ph: (956) 401-8650 | Derek Devan Thompson, MA LMHC 19750 Minkler Rd, Adams Center, NY 13606-3122 Ph: (956) 401-8650 |
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