Active NPI
Ja'Me Ann Brandish, M.A
- Clinical Psychologist
- Rock Cave, WV
National Provider Identifier
1285070714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1067
- Practice address
- 78 Queens Alley Rd
Rock Cave, WV 26234-5890 - Phone
- (304) 924-6262
- Fax
- (304) 924-5460
- NPI assigned
- May 10, 2013
- Last updated
- Aug 10, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1067 | WV | Primary |
Addresses
Primary practice location
78 Queens Alley Rd
Rock Cave, WV 26234-5890
Mailing address
PO Box 217
Rock Cave, WV 26234-0217
Phone (304) 924-6262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q43388C | Other | WV | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4 Northridge Dr
Suite 120
Buckhannon, WV 26201-8484
Phone (304) 472-0245
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.01 of 100
- Quality
- 94.2
- Promoting interoperability
- 100
- Improvement activities
- 20
- Cost
- 92.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1067 | WV | MD | Clinical Psychologist |
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.
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- NPI 1750332524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1285070714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 217",
"city": "ROCK CAVE",
"state": "WV",
"postal_code": "262340217",
"telephone_number": "304-924-6262",
"fax_number": "304-924-5460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 QUEENS ALLEY RD",
"city": "ROCK CAVE",
"state": "WV",
"postal_code": "262345890",
"telephone_number": "304-924-6262",
"fax_number": "304-924-5460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDISH",
"first_name": "JA'ME",
"middle_name": "ANN",
"credential": "M.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-10",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "1067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Q43388C",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rock Cave, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.