Individual provider Active NPI

James Arthur Cates, PH.D., , HSPP, ABPP

  • Psychologist
  • Fort Wayne, IN
National Provider Identifier
1407805104
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20040888A Issued in IN
Practice address
2200 Lake Ave
Suite 260
Fort Wayne, IN 46805-5397
Phone
(260) 493-3980
Fax
(260) 424-3530
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20040888A IN Primary

Addresses

Primary practice location

2200 Lake Ave
Suite 260
Fort Wayne, IN 46805-5397

Mailing address

P.O. Box 5391
Fort Wayne, IN 46895-5391
Phone (260) 493-3980

Other identifiers 1

IdentifierTypeStateIssuer
200002660MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20111102000682 IN Practitioner - Clinical Psychologist 9830362169 Reassigns benefits to 1 organization
Practice locations: Angola, IN; Ft Wayne, IN; Topeka, IN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20040888AINMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Edt, Inc. CurrentSince Jun 1, 2014 Accepting new patients
Crossroad Child & Family Services, Inc. Past Accepting new patients
Crossroad - Fort Wayne Childrens Home Past Accepting new patients
Cates & Associates, Inc. Psychologist Past Accepting new patients

Locations

2020 E Washington Blvd
Ste 700
Fort Wayne, IN 46803
Phone (260) 422-3034

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1407805104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5391",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468955391",
            "telephone_number": "260-493-3980",
            "fax_number": "260-424-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LAKE AVE",
            "address_2": "SUITE 260",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055397",
            "telephone_number": "260-493-3980",
            "fax_number": "260-424-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATES",
        "first_name": "JAMES",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "PH.D., , HSPP, ABPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040888A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002660",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.