MS. WENDY THOMPSON (PHD) – Psychologist, NPI 1104960632

MS. WENDY THOMPSON (PHD) is a healthcare provider. based in Ypsilanti, Michigan. specializing in Psychologist. They hold the professional credentials PHD. They hold a License No. 6301013656 (MI). The NPI Number for MS. WENDY THOMPSON (PHD) is 1104960632

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
MS. WENDY THOMPSON (PHD)
NPI
1104960632
Phone
(734) 358-0477
Address
1207 PEARL
Enumeration Date
17 February 2007
Last Update Date
3 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7347862300
Graduation Year
2006 (20 years ago)
PAC ID
3072693613
Group Practice PAC ID
2365521226
Professional Enrollment ID
I20131213000752
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MS. WENDY THOMPSON (PHD)

  • 1207 PEARL

    YPSILANTI, MI 481974622

    Phone: (734) 358-0477

    Fax: (734) 436-0253

    Type: Mailing

  • 1207 Pearl

    Ypsilanti, MI 481974622

    Phone: (734) 358-0477

    Fax: (734) 436-0253

    Type: Location

  • 2350 GREEN RD STE 160

    ANN ARBOR, MI 481051572

    Phone: (517) 492-0784

    Type: Location

  • 4800 N SCOTTSDALE RD STE 2500

    SCOTTSDALE, AZ 852517630

    Phone:

    Type: Mailing

  • 3509 EDGEWOOD DR

    ANN ARBOR, MI 481045227

    Phone: (734) 662-6300

    Fax: (734) 662-3365

    Type: Mailing

  • 15 RESEARCH DR

    ANN ARBOR, MI 481032974

    Phone: (734) 662-6300

    Fax: (734) 662-3365

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131213000752IClinical PsychologistMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48197)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365521226View full group profile

Reviews

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Frequently asked questions

What number should I use to identify MS. WENDY THOMPSON (PHD) for billing?
Administrative and clinical systems typically use NPI 1104960632 for MS. WENDY THOMPSON (PHD).
Should I treat MS. WENDY THOMPSON (PHD) as an active provider?
Patients and plans typically see MS. WENDY THOMPSON (PHD) as active in the national extract.
Which specialty label fits MS. WENDY THOMPSON (PHD)?
NPPES ties MS. WENDY THOMPSON (PHD) to Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MS. WENDY THOMPSON (PHD) tied to Ypsilanti, Michigan?
If you are local to Ypsilanti, Michigan, MS. WENDY THOMPSON (PHD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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