Active NPI
Robert James, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1058021
- Practice address
- 4516 Jaylin St
Fort Worth, TX 76244-9029 - Phone
- (817) 894-0710
- NPI assigned
- Nov 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 270278 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1058021 | TX | Primary |
Addresses
Primary practice location
4516 Jaylin St
Fort Worth, TX 76244-9029
Mailing address
Cpec , Community Psychiatric Center. 358 E. Javelina Av
Suite 101
Mesa, AZ 85210-9029
Phone (480) 507-3180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
824 N 99TH Ave
Suite 107And108
Avondale, AZ 85323-5324
Phone (623) 907-1457
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270278 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1058021 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc | Current | Accepting new patients | |
| Community Bridges, Inc | Current | Accepting new patients | |
| Community Bridges, Inc. | Past | Accepting new patients | |
| Community Bridges, Inc. | Past | Accepting new patients | |
| Resilient Integrated Treatment Center LLC | Past | Accepting new patients |
Locations
824 N 99th Ave
Ste 107108
Avondale, AZ 85323
Phone (623) 907-1457
1855 W Baseline Rd
Ste 101
Mesa, AZ 85202
358 E Javelina Ave
Ste 102
Mesa, AZ 85210
Phone (480) 507-3180
358 E Javelina Ave
Ste 101
Mesa, AZ 85210
Phone (480) 507-3180
2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999
250 S Toole Ave
Ste B
Tucson, AZ 85701
Phone (520) 323-1312
250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312
3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335
Interoperability endpoints
- robert.jamesbht.p1@direct.cbridges.nextgenshare.com
Organizations & group practices 8
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.
-
- Adult Mental Health Clinic/Center
- Page, AZ
- NPI 1558095315
-
- Community/Behavioral Health Agency
- Payson, AZ
- NPI 1548416514
-
- Mental Illness Community Based Residential Treatment Facility
- Yuma, AZ
- NPI 1861722175
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1427596196
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1588348775
-
- Substance Abuse Rehabilitation Facility
- Mesa, AZ
- NPI 1356461727
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1508124488
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1922743202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1215692520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CPEC , COMMUNITY PSYCHIATRIC CENTER. 358 E. JAVELINA AV",
"address_2": "SUITE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852109029",
"telephone_number": "480-507-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4516 JAYLIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762449029",
"telephone_number": "817-894-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "ROBERT",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-02",
"last_updated": "2023-08-03",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "270278",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1058021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.