Active NPI
James M Perkin Licensed Psychologist
- Psychologist
- Allentown, PA
National Provider Identifier
1376758284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS004611L
- Legal business name
- JAMES M PERKIN LICENSED PSYCHOLOGIST
- Practice address
- 4825 Tilghman St
Allentown, PA 18104 - Phone
- (610) 432-6687
- Fax
- (610) 366-2049
- NPI assigned
- May 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James M Perkin, MS
- Title
- Licensed Psychologist
- Phone
- (610) 432-6687
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS004611L | PA | Primary |
Addresses
Primary practice location
4825 Tilghman St
Allentown, PA 18104
Mailing address
4825 Tilghman St
Allentown, PA 18104
Phone (610) 432-6687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01469898 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376758284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 TILGHMAN ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "18104",
"telephone_number": "610-432-6687",
"fax_number": "610-366-2049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4825 TILGHMAN ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "18104",
"telephone_number": "610-432-6687",
"fax_number": "610-366-2049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES M PERKIN LICENSED PSYCHOLOGIST",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PERKIN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "610-432-6687",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "PA",
"license": "PS004611L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01469898",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.