James Clarence Nellis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5010 East Shea Blvd. Suite D202 Act Counseling & Educat
Scottsdale, AZ 85254-4570

Phone

(602) 509-4328

Fax

(602) 507-4328

NPI assigned

Nov 30, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1164992236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ACT COUNSELING & EDUCATION",
            "address_2": "5010 EAST SHEA BLVD. SUITE D 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544570",
            "telephone_number": "602-509-4328",
            "fax_number": "602-507-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 EAST SHEA BLVD. SUITE D202 ACT COUNSELING & EDUCAT",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544570",
            "telephone_number": "602-509-4328",
            "fax_number": "602-507-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELLIS",
        "first_name": "JAMES",
        "middle_name": "CLARENCE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaheen Poonawala Neil
• Gertrude F Neill, CRNA
• Jessica V Neill, D.D.S.
• Easton Alan Neitzel, MD
• Marjan Nejad, DMD
• Mark William Nelms, PA-C
• Alexander Tai Nelson, LAC
• Alexandra Nelson, COTA
• Chad R Nelson, M.D.
• Cory Oliver Nelson, M.D.

• Behavior Technician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.