Individual provider Active NPI

James K Margolis, PH.D.

  • Clinical Psychologist
  • Allentown, PA
National Provider Identifier
1174742126
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS004698-L Issued in PA
Practice address
1045 S Cedar Crest Blvd
Allentown, PA 18103-5443
Phone
(610) 433-3360
Fax
(610) 432-3110
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS004698-L PA Primary

Addresses

Primary practice location

1045 S Cedar Crest Blvd
Allentown, PA 18103-5443

Mailing address

1045 S Cedar Crest Blvd
Allentown, PA 18103-5443
Phone (610) 433-3360

Other identifiers 8

IdentifierTypeStateIssuer
232429262OtherPATAX IDENTIFICATION NO.
01866802OtherPACAPITAL BLUE CROSS PROVID
02303300OtherPACAPITAL BLUE CROSS GROUP
235642OtherPAVALUE OPTIONS PROVIDER NO
128420000OtherPAMAGELLAN HEALTH SERVICES
484903OtherPAHIGHMARK BLUE SHIELD PROV
790963391OtherPADUNS NO.
1336100387OtherPAVALLEY PSYCHOLOGICAL ASSO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111025000700 PA Practitioner - Clinical Psychologist 5890968523 Practice locations: Allentown, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1045 S Cedar Crest Blvd
Allentown, PA 18103-5443
Phone (610) 433-3360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS004698-LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Psychological Associates Clinical Past Accepting new patients
Glen Forest Psychological Services, LLC Clinical Past Accepting new patients

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1174742126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035443",
            "telephone_number": "610-433-3360",
            "fax_number": "610-432-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035443",
            "telephone_number": "610-433-3360",
            "fax_number": "610-432-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOLIS",
        "first_name": "JAMES",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS004698-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NO.",
            "identifier": "232429262",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS PROVID",
            "identifier": "01866802",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS GROUP",
            "identifier": "02303300",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER NO",
            "identifier": "235642",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERVICES",
            "identifier": "128420000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD PROV",
            "identifier": "484903",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DUNS NO.",
            "identifier": "790963391",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALLEY PSYCHOLOGICAL ASSO",
            "identifier": "1336100387",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.