Individual provider Active NPI

James Richards Fosnot, PSY.D.

  • Psychologist
  • Encinitas, CA
National Provider Identifier
1366681462
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 17901 Issued in CA
Practice address
317 N El Camino Real Ste 101
Encinitas, CA 92024-2812
Phone
(760) 522-8584
Fax
(760) 942-2772
NPI assigned
Feb 12, 2009
Last updated
Feb 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 17901 CA Primary

Addresses

Primary practice location

317 N El Camino Real Ste 101
Encinitas, CA 92024-2812

Mailing address

140 Melrose Ave
Encinitas, CA 92024-3238
Phone (760) 522-8584

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

State licenses

LicenseStateTypeSpecialty
PSY 17901CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1366681462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MELROSE AVE",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243238",
            "telephone_number": "760-522-8584",
            "fax_number": "760-942-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N EL CAMINO REAL STE 101",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242812",
            "telephone_number": "760-522-8584",
            "fax_number": "760-942-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSNOT",
        "first_name": "JAMES",
        "middle_name": "RICHARDS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 17901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.