Active NPI
David L St James, PHD
- Psychologist
- Brockton, MA
National Provider Identifier
1437258258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7233
- Practice address
- 1350 Belmont Street
Suite 103
Brockton, MA 02301-4430 - Phone
- (508) 580-2137
- Fax
- (508) 559-6143
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7233 | MA | Primary |
Addresses
Primary practice location
1350 Belmont Street
Suite 103
Brockton, MA 02301-4430
Mailing address
1350 Belmont Street
Suite 103
Brockton, MA 02301-4430
Phone (508) 580-2137
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W06112 | Other | MA | BCBS |
| 1893173 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7233 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437258258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 BELMONT STREET",
"address_2": "SUITE 103",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014430",
"telephone_number": "508-580-2137",
"fax_number": "508-559-6143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 BELMONT STREET",
"address_2": "SUITE 103",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014430",
"telephone_number": "508-580-2137",
"fax_number": "508-559-6143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST JAMES",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "7233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W06112",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1893173",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.