James Avenue Psychological Consultation, P.a.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JAMES AVENUE PSYCHOLOGICAL CONSULTATION, P.A.

Practice address

3005 James Ave S
Minneapolis, MN 55408-2533

Phone

(612) 227-2829

Fax

(612) 377-7501

NPI assigned

Dec 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Missy Blair, PHDNPI 1962570242

Title

President

Phone

(612) 227-2829

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa M. Blair, PH.D.

  • Psychologist
  • Minneapolis, MN
  • NPI 1962570242

  Clinical Child & Adolescent

  NPD Authorized official
• Lois Jayne Egan, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1386775278
  NPD (past)

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1407924780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 HAMPSHIRE AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554272249",
            "telephone_number": "612-227-2829",
            "fax_number": "612-377-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 JAMES AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082533",
            "telephone_number": "612-227-2829",
            "fax_number": "612-377-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES AVENUE PSYCHOLOGICAL CONSULTATION, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MISSY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-227-2829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "LP3550",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA OR UBH",
            "identifier": "6173818",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "141774",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHP",
            "identifier": "20258-11",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "117T6NA OR 114T7NA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fathia Jamaa
• Hafsa A Jamaa
• Sahara Jamal
• Walid Jose Jamaleddin
• Zakaria Ahmed Jamari
• Edith James, MD
• Hannah James, DNP
• Judith Marie James, ED.D., LADC
• Kendall William James, DMD
• Leo Z James, MA, LMFT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

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