Organization Active NPI

James N. Kraut, Psy.D., LLC

  • Psychologist
  • Coral Springs, FL
National Provider Identifier
1114240983
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY4990 Issued in FL
Legal business name
JAMES N. KRAUT, PSY.D., LLC
Practice address
3111 N University Dr
Suite 429
Coral Springs, FL 33065-5086
Phone
(954) 757-1400
Fax
(954) 757-3232
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Dr. James N Kraut, PSY.D.NPI 1811059439
Title
President
Phone
(954) 757-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PY4990 FL Primary

Addresses

Primary practice location

3111 N University Dr
Suite 429
Coral Springs, FL 33065-5086

Mailing address

3111 N University Dr
Suite 429
Coral Springs, FL 33065-5086
Phone (954) 757-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111219000467 FL Part B Supplier - Clinic/Group Practice 6406021534 Receives reassigned benefits from 1 practitioner
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

3111 N University Dr
Ste 429
Coral Springs, FL 33065
Phone (954) 344-9825

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1114240983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 N UNIVERSITY DR",
            "address_2": "SUITE 429",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655086",
            "telephone_number": "954-757-1400",
            "fax_number": "954-757-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 N UNIVERSITY DR",
            "address_2": "SUITE 429",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655086",
            "telephone_number": "954-757-1400",
            "fax_number": "954-757-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES N. KRAUT, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "KRAUT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-757-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.