Active NPI
James Mark Dobbs, PSY.D.
- Clinical Psychologist
- Indianapolis, IN
National Provider Identifier
1053483628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20040971A
- Practice address
- 6337 Hollister Dr
Indianapolis, IN 46224-4725 - Phone
- (317) 291-9007
- Fax
- (317) 291-9061
- NPI assigned
- Nov 15, 2006
- 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 | 20040971A | IN | Primary |
Addresses
Primary practice location
6337 Hollister Dr
Indianapolis, IN 46224-4725
Mailing address
6337 Hollister Dr
Indianapolis, IN 46224-4725
Phone (317) 291-9007
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20040971A | IN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1053483628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6337 HOLLISTER DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462244725",
"telephone_number": "317-291-9007",
"fax_number": "317-291-9061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6337 HOLLISTER DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462244725",
"telephone_number": "317-291-9007",
"fax_number": "317-291-9061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBBS",
"first_name": "JAMES",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20040971A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.