Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kip Van Thompson, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1487080487

Dr. Kip Van Thompson, PHD is a Clinical Child & Adolescent Psychologist in New York, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2013
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

119 W 57th St Ste 1100
New York, NY 10019-2401
Phone: (770) 856-6359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 368 S Pickett St Unit 22141, Alexandria, VA 22304-8322 — (770) 856-6359

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 022173 (NY)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 022173 (NY)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 022173 (NY)

Record details

NPI number1487080487
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 23, 2013
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

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