Active NPIIndividual providerSole proprietor

Jeremy Thompson

Counselor, Addiction (Substance Use Disorder) in Mount Vernon, New York

NPI Number1003246307
Practice location
54 S 3RD Ave, Mount Vernon, NY 10550-3303
Fax
—
Last updated
November 22, 2013

Jeremy Thompson is a Counselor, Addiction (Substance Use Disorder) based in Mount Vernon, NY. Jeremy Thompson practices in Mount Vernon, NY. The NPI Number for Jeremy Thompson is 1003246307 and holds a License No. 419456309 (NY). The current practice location address for Jeremy Thompson is 54 S 3RD Ave, Mount Vernon, NY 10550-3303 and can be reached out via phone at 914-664-4042.

Provider Profile Details

NPI Number
1003246307
Provider Name
Jeremy Thompson
Provider Entity Type
Individual
Gender
Male
Address
54 S 3RD Ave, Mount Vernon, NY 10550-3303
Phone Number
914-664-4042
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
November 22, 2013
Last Update Date
November 22, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 S 3RD Ave
Mount Vernon, NY 10550-3303
Zip
10550-3303
Phone Number
914-664-4042
Mount Vernon, NY 10550Get directions →

Provider Business Mailing Address Details

Address
902 Fairway Grn
Mamaroneck, NY 10543-4325
City
Mamaroneck
State
NY
Zip
10543-4325
Phone Number
914-523-6659

License Information

License Number
419456309
License State
NY
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jeremy Thompson?

The NPI number of Jeremy Thompson is 1003246307. It was assigned on November 22, 2013 and is currently active in the NPPES registry.

What is the specialty of Jeremy Thompson?

Jeremy Thompson is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NY under license number 419456309.

Where does Jeremy Thompson practice?

The practice location is 54 S 3RD Ave, Mount Vernon, NY 10550-3303. The office can be reached at 914-664-4042 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003246307 directly on the NPPES registry website.

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