Organization Active NPI

James J Daurora PHD PA

  • Psychologist
  • Saint Paul, MN
National Provider Identifier
1396853057
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
JAMES J DAURORA PHD PA
Practice address
91 N Snelling Avenue
Suite 200
St Paul, MN 55104-6756
Phone
(651) 644-2248
Fax
(651) 641-1074
NPI assigned
Aug 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James Joseph Daurora Jr., PHD
Title
Licensed Psychologist President
Phone
(651) 644-2248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

91 N Snelling Avenue
Suite 200
St Paul, MN 55104-6756

Mailing address

91 N Snelling Avenue
Suite 200
St Paul, MN 55104-6756
Phone (651) 644-2248

National Provider Directory

National Provider Directory

Locations

91 Snelling Ave N
Ste 200
Saint Paul, MN 55104
Phone (651) 644-2248

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396853057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 N SNELLING AVENUE",
            "address_2": "SUITE 200",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551046756",
            "telephone_number": "651-644-2248",
            "fax_number": "651-641-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 N SNELLING AVENUE",
            "address_2": "SUITE 200",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551046756",
            "telephone_number": "651-644-2248",
            "fax_number": "651-641-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J DAURORA PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAURORA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST  PRESIDENT",
        "authorized_official_telephone_number": "651-644-2248",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

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.

Verify at the official NPI Registry.