Individual provider Active NPI

James A Vermilyea, PH. D, MBA

  • Cognitive & Behavioral Psychologist
  • Woburn, MA
National Provider Identifier
1124356233
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
4233 Issued in MA
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

Updated by the provider on Apr 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.