James a. Reavis, Psy.D. a Psychological Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY17404 Issued in CA

Legal business name

JAMES A. REAVIS, PSY.D. A PSYCHOLOGICAL CORPORATION

Practice address

964 5TH Ave # 200
San Diego, CA 92101-6102

Phone

(619) 234-7970

Fax

(619) 699-5945

NPI assigned

Feb 14, 2009

Last updated

Feb 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James A Reavis, PSY.D.NPI 1619089406

Title

Ceo

Phone

(619) 234-7970

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• James Alton Reavis Jr., PSYD

  • Psychologist
  • San Diego, CA
  • NPI 1619089406
  NPD (past) Authorized official

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

{
    "created_epoch": "1234569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234569600000",
    "number": "1437398468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 5TH AVE # 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016102",
            "telephone_number": "619-234-7970",
            "fax_number": "619-699-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 5TH AVE # 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016102",
            "telephone_number": "619-234-7970",
            "fax_number": "619-699-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A. REAVIS, PSY.D. A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-14",
        "last_updated": "2009-02-14",
        "status": "A",
        "authorized_official_last_name": "REAVIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-234-7970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY17404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ugbad Abdillahi Jama, COUNSELOR I
• Maryam Jamali, PHARMACIST
• Noail Jameel
• Kristian Jamerson, FNP-BC
• James a Grant MD Inc
• James Andry MD PC
• James B Berry
• James C Dillard Dr Chiropractic Corporation
• James Drew Veltmeyer MD PC
• James E Hopper DDS Inc.

• Community/Behavioral Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2009; 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.