Active NPI
James Lewis Mylar, PHD
- Clinical Psychologist
- Colorado Springs, CO
National Provider Identifier
1053487751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 308
- Practice address
- 524 North Tejon St
Colorado Springs, CO 80903 - Phone
- (719) 633-2008
- Fax
- (719) 447-0771
- NPI assigned
- Nov 27, 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 | 308 | CO | Primary |
Addresses
Primary practice location
524 North Tejon St
Colorado Springs, CO 80903
Mailing address
524 N Tejon St
Colorado Springs, CO 80903
Phone (719) 633-2008
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114943124 | Other | DUNS | |
| P000H90R2 | Medicaid | CO | |
| 95016409 | Other | TPIN |
Other names 1
- Dr. J Lewis Mylar
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1053487751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 N TEJON ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80903",
"telephone_number": "719-633-2008",
"fax_number": "719-447-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 NORTH TEJON ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80903",
"telephone_number": "719-633-2008",
"fax_number": "719-447-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYLAR",
"first_name": "JAMES",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "308",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DUNS",
"identifier": "114943124",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P000H90R2",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPIN",
"identifier": "95016409",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "J",
"last_name": "MYLAR",
"middle_name": "LEWIS",
"prefix": "DR.",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.