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DR. TYSHAWN THOMPSON PSY.D.
NPI 1558090183
Psychologist - Clinical in Bronx, NY

Active since June 08, 2022PECOS Enrolled
3544 JEROME AVE, BRONX, NY 10467(718) 547-6011 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2024, Jul 25, 2024, Jun 8, 2022 (3 updates tracked since 2022).

About Dr. Tyshawn Thompson Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TYSHAWN THOMPSON PSY.D. (NPI 1558090183) is an individual clinical provider in Bronx, New York, licensed in New York (026711) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558090183
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TYSHAWN THOMPSONCredential: PSY.D.
Location Address3544 JEROME AVEBronx, NY 10467-1005
Mailing Address28-07 Zachary TerFair Lawn, NJ 07410-3927
Phone(718) 547-6011
Sole ProprietorNo
Enumeration DateJune 8, 2022
Last NPPES UpdateSeptember 24, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1558090183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 026711
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3544 JEROME AVE, Bronx, NY 10467
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyshawn Thompson Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tyshawn Thompson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
0.3 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DALIA BRAHMI MD, MPH
Family Medicine
3544 JEROME AVE
BRONX, NY 10467
Bronx County (718) 920-5521
DR. ANNA FLATTAU M.D, MSC
Family Medicine
3544 JEROME AVE
BRONX, NY 10467
Bronx County (718) 920-2007
DR. TANYA MONIKI WHITE-DAVIS PSY.D.
Psychologist (Clinical)
3544 JEROME AVE, DEPT. OF FAMILY AND SOCIAL MEDICINE
BRONX, NY 10467
Bronx County (718) 920-2828
DR. OLADIMEJI OKI M.D.
Student in an Organized Health Care Education/Training Program
3544 JEROME AVE
BRONX, NY 10467
Bronx County (718) 920-2815
STEPHANIE F TWOMEY PA
Physician Assistant
3544 JEROME AVE
BRONX, NY 10467
Bronx County (718) 920-6283
DR. LARISA SHPITALNIK MD
Family Medicine
3544 JEROME AVE
BRONX, NY 10467
Bronx County (718) 920-5896
MONTEFIORE MEDICAL CENTER
Clinic/Center (Multi-Specialty)
3544 JEROME AVE, MMC FAMILY MEDICINE AT JEROME
BRONX, NY 10467
Bronx County (718) 920-5521
MONTEFIORE MEDICAL CENTER
Clinic/Center
3544 JEROME AVE
BRONX, NY 10467
Bronx County (914) 621-6048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyshawn Thompson's NPI number?

The NPI number for Tyshawn Thompson is 1558090183. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Where is Tyshawn Thompson located?

Tyshawn Thompson practices at 3544 Jerome Ave, Bronx, NY 10467. The listed phone number is (718) 547-6011.

What is Tyshawn Thompson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Tyshawn Thompson enrolled in Medicare?

Yes. Tyshawn Thompson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tyshawn Thompson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyshawn Thompson reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyshawn Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tyshawn Thompson was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.