Individual provider Active NPI

James Arthur Fish, PH.D.

  • Psychologist
  • Kearney, NE
National Provider Identifier
1154349397
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
512 Issued in NE
Practice address
3219 Central Ave.
Kearney, NE 68847-2949
Phone
(308) 865-2263
Fax
(308) 865-2541
NPI assigned
Jul 17, 2006
Last updated
Sep 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 512 NE Primary

Addresses

Primary practice location

3219 Central Ave.
Kearney, NE 68847-2949

Mailing address

3219 Central Ave.
Kearney, NE 68847-2949
Phone (308) 865-2263

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychological Services PC Past Accepting new patients
First Step Recovery Center Inc. Past Accepting new patients
Blue Valley Behavioral Health Inc PastSince Jul 6, 2011 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1154349397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 CENTRAL AVE.",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472949",
            "telephone_number": "308-865-2263",
            "fax_number": "308-865-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 CENTRAL AVE.",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472949",
            "telephone_number": "308-865-2263",
            "fax_number": "308-865-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "JAMES",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.