Individual provider Active NPI

James Michael Marcum, MD

  • Psychiatry Physician
  • Springville, UT
National Provider Identifier
1013938588
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
52568381205 Issued in UT
Practice address
672 W 400 S Ste 201
Springville, UT 84663-3170
Phone
(801) 369-8989
Fax
(801) 704-9741
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 182233 OR
Psychiatry Physician 2084P0800X 52568381205 UT Primary

Addresses

Primary practice location

672 W 400 S Ste 201
Springville, UT 84663-3170

Mailing address

672 W 400 S Ste 201
Springville, UT 84663-3170
Phone (801) 369-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040206000183 UT Practitioner - Psychiatry 7517850183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Miami, LM Miller School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salt Lake Behavioral Health LLCGroup PAC ID 6709915473, 7 clinicians

Practice addresses (Care Compare)

3802 S 700
Salt Lake City, UT 84106-1182
Phone (801) 264-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36614SCMDPharmacist
182233ORMDPsychiatry Physician
52568381205UTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Numinus Wellness Ut Inc Psychiatry CurrentSince Feb 4, 2020 Accepting new patients
Davis Behavioral Health Inc Psychiatry Past Accepting new patients
Sentara RMH Medical Center Past Accepting new patients
Sentara RMH Medical Center Past Accepting new patients

Locations

672 W 400 S
Ste 201
Springville, UT 84663
Phone (208) 680-8226

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1013938588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 W 400 S STE 201",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846633170",
            "telephone_number": "801-369-8989",
            "fax_number": "801-704-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 W 400 S STE 201",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846633170",
            "telephone_number": "801-369-8989",
            "fax_number": "801-704-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "182233",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "52568381205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

Verify at the official NPI Registry.