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

Gervon R Thompson, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1275371049

Gervon R Thompson, PMHNP is a Nurse Practitioner in New York, New York. Qualified in 2021, 5 years ago. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2024
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

198 E 121st St # 5
New York, NY 10035-3523
Phone: (212) 801-3300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F406088-01 (NY)

Record details

NPI number1275371049
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJuly 17, 2024
Last updated in NPPESJuly 17, 2024
Certification dateJuly 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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