Active NPI
James Charles Husen
- Clinical Psychologist
- Riverside, CA
National Provider Identifier
1053836445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY30102
- Practice address
- 3068 Brockton Ave
Riverside, CA 92501-2325 - Phone
- (951) 314-6634
- Fax
- (951) 781-8985
- NPI assigned
- Aug 7, 2017
- Last updated
- Jul 21, 2022
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY30102 | CA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY30102 | CA | |
| Family Psychologist | 103TF0000X | PSY30102 | CA | |
| Forensic Psychologist | 103TF0200X | PSY30102 | CA | |
| Group Psychotherapy Psychologist | 103TP2701X | PSY30102 | CA | |
| Marriage & Family Therapist | 106H00000X | 86502 | CA |
Addresses
Primary practice location
3068 Brockton Ave
Riverside, CA 92501-2325
Mailing address
3068 Brockton Ave
Riverside, CA 92501-2325
Phone (951) 314-6634
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30102 | CA | MD | Forensic Psychologist |
| 86502 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1053836445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3068 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925012325",
"telephone_number": "951-314-6634",
"fax_number": "951-781-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3068 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925012325",
"telephone_number": "951-314-6634",
"fax_number": "951-781-8985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSEN",
"first_name": "JAMES",
"middle_name": "CHARLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY30102",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY30102",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CA",
"license": "PSY30102",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY30102",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "PSY30102",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "86502",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.