James F. Brogle, PH.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

57000014A Issued in IN

Legal business name

JAMES F. BROGLE, PH.D., P.C.

Doing business as

Stress Recovery Center

Practice address

828 E Colfax Ave
South Bend, IN 46617-2804

Phone

(574) 233-3003

Fax

(574) 234-5710

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

James F Brogle, PH.D.

Title

Owner

Phone

(574) 233-3003

Specialties & licenses 1

Addresses

Other names 1

• Stress Recovery Center Doing business as

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215063706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 E COLFAX AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172804",
            "telephone_number": "574-233-3003",
            "fax_number": "574-234-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 E COLFAX AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172804",
            "telephone_number": "574-233-3003",
            "fax_number": "574-234-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES F. BROGLE, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROGLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-233-3003",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "57000014A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stress Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Michael Jacobs, MD
• Kristen Jacobs, M.D.
• Tracie Jacobs, MA
• Kristie Ann Jacobsen
• Unnati Jain
• Jeffrey James
• Kathy James, LCSW
• Lisa James, P.T.
• Maureen Renee Jamieson, R.D
• Janeczko Properties LLC

• Clinical Psychologist in South Bend, IN
• Providers in South Bend, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.