Individual provider Active NPI

James J Kiffer, PHD CLINICAL PSYCHOL

  • Psychologist
  • Barrigada Heights, GU
National Provider Identifier
1306028204
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
CP10 Issued in GU
Practice address
271 Puti Tai Nobio St
Barrigada Heights, GU 96913
Phone
(671) 637-8929
Fax
(671) 632-3000
NPI assigned
Dec 3, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X CP10 GU Primary

Addresses

Primary practice location

271 Puti Tai Nobio St
Barrigada Heights, GU 96913

Mailing address

271 Puti Tai Nobio St
Barrigada Heights, GU 96913
Phone (671) 637-8929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CP10GUMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1306028204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 PUTI TAI NOBIO ST",
            "city": "BARRIGADA HEIGHTS",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-637-8929",
            "fax_number": "671-632-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 PUTI TAI NOBIO ST",
            "city": "BARRIGADA HEIGHTS",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-637-8929",
            "fax_number": "671-632-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIFFER",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD CLINICAL PSYCHOL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GU",
            "license": "CP10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrigada Heights, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.