Active NPI
James Russel Van Norman, MD
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1043316508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H4763
- Practice address
- 1430 Collier St
Austin, TX 78704-2911 - Phone
- (512) 472-4357
- Fax
- (512) 703-1394
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H4763 | TX | Primary |
Addresses
Primary practice location
1430 Collier St
Austin, TX 78704-2911
Mailing address
PO Box 3548
Austin, TX 78764-3548
Phone (512) 472-4357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129383902 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081024000482 | TX | Practitioner - Psychiatry | 6204724990 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Texas Medical School at Houston, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Camino la Costa
Austin, TX 78752-3911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H4763 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peoples Community Clinic Inc | Current | Accepting new patients | |
| People'S Community Clinic, Inc. | Current | Accepting new patients | |
| City of Austin | Past | Accepting new patients |
Locations
1101 Camino La Costa
Austin, TX 78752
Phone (512) 478-4939
10335 US Highway 290 E
Bldg 35
Manor, TX 78653
Phone (512) 478-4939
Interoperability endpoints
- jvannorman696795@direct.ochin.org
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Manor, TX
- NPI 1083019905
-
- Emergency Medical Services (Emergency Medicine) Physician
- Austin, TX
- NPI 1083245070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335225600000",
"number": "1043316508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3548",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787643548",
"telephone_number": "512-472-4357",
"fax_number": "512-703-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 COLLIER ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787042911",
"telephone_number": "512-472-4357",
"fax_number": "512-703-1394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN NORMAN",
"first_name": "JAMES",
"middle_name": "RUSSEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2012-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H4763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129383902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.