Thompson, Kip Van
Thompson, Kip Van is an sole proprietor health care provider with primary practice located at 119 W 57Th St Ste 1100 , New York NY 10019-2401. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Thompson, Kip Van can be contacted via phone (770) 856-6359.Contact Information
Primary practice address
119 W 57Th St Ste 1100
New York NY 10019-2401
Phone: (770) 856-6359
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 022173 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 022173 | New York |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 022173 | New York |
Profile Details
| NPI number | 1487080487 |
|---|---|
| LBN Legal business name | Thompson, Kip Van |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2013 |
| Last updated | Oct 31st, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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