James Mitchell Buccigross, PH.D., DABPS

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4859 Issued in OH

Practice address

4450 Belden Village St NW Ste 211
Canton, OH 44718-2596

Phone

(330) 606-6119

Fax

(330) 238-1609

NPI assigned

Jul 10, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/psychologyconsultantsinc/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Donald Kinsley & Associate

  • Psychologist
  • Canton, OH
  • NPI 1558635722
  NPD (past)
• Psychology Consultants Inc

  • Clinical Social Worker
  • Medina, OH
  • NPI 1205882941
  NPD (past)

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376707240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 BELDEN VILLAGE ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182552",
            "telephone_number": "330-606-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 BELDEN VILLAGE ST NW STE 211",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182596",
            "telephone_number": "330-606-6119",
            "fax_number": "330-238-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCIGROSS",
        "first_name": "JAMES",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "PH.D., DABPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "4859",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "OH",
            "license": "4859",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Bryant, O.D.
• Bubanic Chiropractic Inc.
• Bernard P. Bubanic, DC DACBSP
• Troy Bubanic, DC
• Shelby Lauren Bucceri, CNS
• Zakree Buccitelli, LPC
• Elaine Buch, CRNA
• Irionah Buchanan
• Shetoria Buchanan, LPN
• Victoria L Bucher, PTA

• Clinical Psychologist in Canton, OH
• Providers in Canton, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.