1. Home
  2. Directory
  3. California
  4. San Jose
  5. Clinical Neuropsychologist
  6. NPI Profile
  7. NPI Record 1750366902

DR. GREGORY R THOMSON PHD
Complete NPI Record 1750366902
Clinical Neuropsychologist in San Jose, CA

NPI Status: Active since December 09, 2005

Contact Information

2512 SAMARITAN CT
SUITE I
SAN JOSE, CA
ZIP 95124
Phone: (408) 402-9858

Get Directions

Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Name Prefix Text
  7. Provider Credential Text
  8. Provider First Line Business Mailing Address
  9. Provider Business Mailing Address City Name
  10. Provider Business Mailing Address State Name
  11. Provider Business Mailing Address Postal Code
  12. Provider Business Mailing Address Country Code If outside U S
  13. Provider Business Mailing Address Telephone Number
  14. Provider First Line Business Practice Location Address
  15. Provider Second Line Business Practice Location Address
  16. Provider Business Practice Location Address City Name
  17. Provider Business Practice Location Address State Name
  18. Provider Business Practice Location Address Postal Code
  19. Provider Business Practice Location Address Country Code If outside U S
  20. Provider Business Practice Location Address Telephone Number
  21. Provider Enumeration Date
  22. Last Update Date
  23. Provider Gender Code
  24. Healthcare Provider Taxonomy Code 1
  25. Provider License Number 1
  26. Provider License Number State Code 1
  27. Healthcare Provider Primary Taxonomy Switch 1
  28. Healthcare Provider Taxonomy Code 2
  29. Provider License Number 2
  30. Provider License Number State Code 2
  31. Healthcare Provider Primary Taxonomy Switch 2
  32. Healthcare Provider Taxonomy Code 3
  33. Provider License Number 3
  34. Provider License Number State Code 3
  35. Healthcare Provider Primary Taxonomy Switch 3
  36. Healthcare Provider Taxonomy Code 4
  37. Provider License Number 4
  38. Provider License Number State Code 4
  39. Healthcare Provider Primary Taxonomy Switch 4
  40. Healthcare Provider Taxonomy Code 5
  41. Provider License Number 5
  42. Provider License Number State Code 5
  43. Healthcare Provider Primary Taxonomy Switch 5
  44. Healthcare Provider Taxonomy Code 6
  45. Provider License Number 6
  46. Provider License Number State Code 6
  47. Healthcare Provider Primary Taxonomy Switch 6
  48. Healthcare Provider Taxonomy Code 7
  49. Provider License Number 7
  50. Provider License Number State Code 7
  51. Healthcare Provider Primary Taxonomy Switch 7
  52. Healthcare Provider Taxonomy Code 8
  53. Provider License Number 8
  54. Provider License Number State Code 8
  55. Healthcare Provider Primary Taxonomy Switch 8
  56. Healthcare Provider Taxonomy Code 9
  57. Provider License Number 9
  58. Provider License Number State Code 9
  59. Healthcare Provider Primary Taxonomy Switch 9
  60. Healthcare Provider Taxonomy Code 10
  61. Provider License Number 10
  62. Provider License Number State Code 10
  63. Healthcare Provider Primary Taxonomy Switch 10
  64. Healthcare Provider Taxonomy Code 11
  65. Provider License Number 11
  66. Provider License Number State Code 11
  67. Healthcare Provider Primary Taxonomy Switch 11
  68. Healthcare Provider Taxonomy Code 12
  69. Provider License Number 12
  70. Provider License Number State Code 12
  71. Healthcare Provider Primary Taxonomy Switch 12
  72. Is Sole Proprietor

Complete NPI Dataset

This page represents the complete record for NPI 1750366902. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1750366902
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: GREGORY
The first name of the provider, if the provider is an individual.
Provider Middle Name: R
The middle name of the provider, if the provider is an individual.
Provider Name Prefix Text: DR.
The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider Credential Text: PHD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address: PO BOX 3240
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: SARATOGA
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: CA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 950701240
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 4084029858
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address: 2512 SAMARITAN CT
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location Address: SUITE I
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: SAN JOSE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: CA
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 951244002
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 4084029858
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 12/9/2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 7/8/2007
The date that a record was last updated or changed.
Provider Gender Code: M
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 103G00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: PSY14385
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: CA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: X
Healthcare Provider Taxonomy Code 2: 103G00000X
Provider License Number 2: 6301011373
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 2: MI
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 2: X
Healthcare Provider Taxonomy Code 3: 103T00000X
Provider License Number 3: PSY14385
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 3: CA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 3: X
Healthcare Provider Taxonomy Code 4: 103T00000X
Provider License Number 4: 6301011373
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 4: MI
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 4: X
Healthcare Provider Taxonomy Code 5: 103TB0200X
Provider License Number 5: 6301011373
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 5: MI
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 5: X
Healthcare Provider Taxonomy Code 6: 103TB0200X
Provider License Number 6: PSY14385
Provider License Number State Code 6: CA
Healthcare Provider Primary Taxonomy Switch 6: X
Healthcare Provider Taxonomy Code 7: 103TC0700X
Provider License Number 7: 6301011373
Provider License Number State Code 7: MI
Healthcare Provider Primary Taxonomy Switch 7: X
Healthcare Provider Taxonomy Code 8: 103TC0700X
Provider License Number 8: PSY14385
Provider License Number State Code 8: CA
Healthcare Provider Primary Taxonomy Switch 8: X
Healthcare Provider Taxonomy Code 9: 103TC1900X
Provider License Number 9: 6301011373
Provider License Number State Code 9: MI
Healthcare Provider Primary Taxonomy Switch 9: X
Healthcare Provider Taxonomy Code 10: 103TC1900X
Provider License Number 10: PSY14385
Provider License Number State Code 10: CA
Healthcare Provider Primary Taxonomy Switch 10: X
Healthcare Provider Taxonomy Code 11: 103TC2200X
Provider License Number 11: 6301011373
Provider License Number State Code 11: MI
Healthcare Provider Primary Taxonomy Switch 11: X
Healthcare Provider Taxonomy Code 12: 103TC2200X
Provider License Number 12: PSY14385
Provider License Number State Code 12: CA
Healthcare Provider Primary Taxonomy Switch 12: X
Is Sole Proprietor: X
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No