Active NPI
Patricia Beran James, PH.D.
- Clinical Psychologist
- Worthington, OH
National Provider Identifier
1144529413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 430
- Practice address
- 571 High St.
Worthington, OH 43085 - Phone
- (614) 436-0044
- Fax
- (614) 436-0045
- NPI assigned
- Mar 25, 2011
- Sex
- Female
- 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 | 430 | OH | Primary |
Addresses
Primary practice location
571 High St.
Worthington, OH 43085
Mailing address
571 High St.
Worthington, OH 43085
Phone (614) 436-0044
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 |
|---|---|---|---|
| 430 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301011200000",
"number": "1144529413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 HIGH ST.",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "43085",
"telephone_number": "614-436-0044",
"fax_number": "614-436-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "571 HIGH ST.",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "43085",
"telephone_number": "614-436-0044",
"fax_number": "614-436-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "PATRICIA",
"middle_name": "BERAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-25",
"last_updated": "2011-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worthington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.