MR. CHARLES W THOMPSON


Address: Transitional Assistance Services, 6100 N. Keystone Avenue, Ste. 237, Indianpaolis, IN 46220-2426
Phone: 3174661740

MR. CHARLES W THOMPSON (NPI# 1487714119) 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) 1487714119
Entity Type Individual
Full Name MR. CHARLES W THOMPSON
Credential LSW
Practice Address Transitional Assistance Services
6100 N. Keystone Avenue, Ste. 237
Indianpaolis
IN 46220-2426
Mailing Address 5450 Daniel Dr
Indianapolis
IN 46226-1656
Practice Telephone 3174661740
Practice Fax Number 3174661710
Mailing Telephone 3173131011
Mailing Fax Number 3174661710
Enumeration Date 2006-12-11
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 33001988A IN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN LSW 33001988A 01

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Office Location

Street Address TRANSITIONAL ASSISTANCE SERVICES
6100 N. KEYSTONE AVENUE, STE. 237
City INDIANPAOLIS
State IN
Zip Code 46220-2426

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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Competitor

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City INDIANPAOLIS
Zip Code 46220

Improve Information

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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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