Individual provider Active NPI

James R. Fecteau, M.D.

  • Psychiatry Physician
  • Rye, NH
National Provider Identifier
1225255409
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
NH8007 Issued in NH
Practice address
1247 Washignton Road
Suite 25
Rye, NH 03870
Phone
(603) 772-3322
NPI assigned
Apr 19, 2007
Last updated
Jul 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NH8007 NH Primary

Addresses

Primary practice location

1247 Washignton Road
Suite 25
Rye, NH 03870

Mailing address

1247 Washington Rd
Rye, NH 03870-2346
Phone (603) 772-3322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180206001535 WI Practitioner - Psychiatry 9234223520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Group practices
SBH-Green Bay LLCGroup PAC ID 7517248198, 7 clinicians

Practice addresses (Care Compare)

1351 Ontario Rd
Green Bay, WI 54311-8302
Phone (920) 328-1220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NH8007NHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SBH-Green Bay LLC Psychiatry CurrentSince Jan 1, 2018 Accepting new patients

Locations

1351 Ontario Rd
Green Bay, WI 54311
Phone (920) 328-1220

Organizations & group practices 1

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1225255409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 WASHINGTON RD",
            "city": "RYE",
            "state": "NH",
            "postal_code": "038702346",
            "telephone_number": "603-772-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 WASHIGNTON ROAD",
            "address_2": "SUITE 25",
            "city": "RYE",
            "state": "NH",
            "postal_code": "03870",
            "telephone_number": "603-772-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECTEAU",
        "first_name": "JAMES",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "NH8007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NH

Sources for this page

Verify at the official NPI Registry.