Individual provider Active NPI

James Beatrice, PH,D.

  • Clinical Psychologist
  • Earlysville, VA
National Provider Identifier
1346332475
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810002486 Issued in VA
Practice address
530 Ardwood Rd
Earlysville, VA 22936-9208
Phone
(434) 975-5992
Fax
(434) 979-8170
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810002486 VA Primary

Addresses

Primary practice location

530 Ardwood Rd
Earlysville, VA 22936-9208

Mailing address

530 Ardwood Rd
Earlysville, VA 22936-9208
Phone (434) 975-5992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041104000798 VA Practitioner - Clinical Psychologist 6608860044 Practice locations: Earlysville, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

530 Ardwood Rd
Earlysville, VA 22936-9208
Phone (434) 975-5991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346332475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 ARDWOOD RD",
            "city": "EARLYSVILLE",
            "state": "VA",
            "postal_code": "229369208",
            "telephone_number": "434-975-5992",
            "fax_number": "434-979-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 ARDWOOD RD",
            "city": "EARLYSVILLE",
            "state": "VA",
            "postal_code": "229369208",
            "telephone_number": "434-975-5992",
            "fax_number": "434-979-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATRICE",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH,D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Earlysville, VA

Sources for this page

Verify at the official NPI Registry.