Active NPI
James A Vermilyea, PH. D, MBA
- Cognitive & Behavioral Psychologist
- Woburn, MA
National Provider Identifier
1124356233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 4233
- Practice address
- 300 Tradecenter
Suite 7790
Woburn, MA 01801-1883 - Phone
- (339) 224-7695
- Fax
- (781) 281-0644
- NPI assigned
- Dec 1, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 4233 | MA | Primary |
| Counseling Psychologist | 103TC1900X | 4233 | MA |
Addresses
Primary practice location
300 Tradecenter
Suite 7790
Woburn, MA 01801-1883
Mailing address
300 Tradecenter
Suite 7790
Woburn, MA 01801-1883
Phone (339) 224-7695
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
- Master of Business Administration, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cognitive Behavior Therapy Associates, LLC | Cognitive & Behavioral | Current | Accepting new patients |
| Boston Behavior Therapy LLC | Past | Accepting new patients |
Locations
300 Tradecenter
Ste 7790
Woburn, MA 01801
Phone (339) 364-2282
Organizations & group practices 2
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.
-
- Cognitive & Behavioral Psychologist
- Medford, MA
- NPI 1871873679
-
- Clinical Psychologist
- Woburn, MA
- NPI 1780995332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335484800000",
"number": "1124356233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 TRADECENTER",
"address_2": "SUITE 7790",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011883",
"telephone_number": "339-224-7695",
"fax_number": "781-281-0644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TRADECENTER",
"address_2": "SUITE 7790",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011883",
"telephone_number": "339-224-7695",
"fax_number": "781-281-0644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERMILYEA",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH. D, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-01",
"last_updated": "2012-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "4233",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "4233",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.