Active NPI
James Kyle Timmons, PH.D.
- Clinical Psychologist
- Anchorage, AK
National Provider Identifier
1003304346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 376
- Practice address
- 1020 Potlatch Cir
Anchorage, AK 99503-1728 - Phone
- (907) 947-1862
- NPI assigned
- Apr 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 376 | AK | Primary |
Addresses
Primary practice location
1020 Potlatch Cir
Anchorage, AK 99503-1728
Mailing address
1020 Potlatch Cir
Anchorage, AK 99503-1728
Phone (907) 947-1862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376 | Other | AK | STATE OF ALASKA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1003304346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 POTLATCH CIR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995031728",
"telephone_number": "907-947-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 POTLATCH CIR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995031728",
"telephone_number": "907-947-1862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMONS",
"first_name": "JAMES",
"middle_name": "KYLE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-23",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AK",
"license": "376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ALASKA",
"identifier": "376",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.