Active NPI
James Otto Niemeier, PH.D.
- Clinical Psychologist
- Madison, WI
National Provider Identifier
1336355429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2691
- Practice address
- 1619 Monroe St
Madison, WI 53711-2063 - Phone
- (608) 255-9330
- Fax
- (608) 255-7810
- NPI assigned
- May 15, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2691 | WI | Primary |
Addresses
Primary practice location
1619 Monroe St
Madison, WI 53711-2063
Mailing address
1619 Monroe St
Madison, WI 53711-2063
Phone (608) 255-9330
Other practice location 1
200 Front St
Ste #D
Beaver Dam, WI 53916-1667
Phone (920) 885-2780
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1336355429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 MONROE ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537112063",
"telephone_number": "608-255-9330",
"fax_number": "608-255-7810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 MONROE ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537112063",
"telephone_number": "608-255-9330",
"fax_number": "608-255-7810"
}
],
"practiceLocations": [
{
"address_1": "200 Front St",
"address_2": "Ste #D",
"address_purpose": "LOCATION",
"city": "Beaver Dam",
"state": "WI",
"postal_code": "539161667",
"country_code": "US",
"telephone_number": "920-885-2780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIEMEIER",
"first_name": "JAMES",
"middle_name": "OTTO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "2691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.