Active NPI
James Douglas Calvert, PHD
- Psychologist
- Dallas, TX
National Provider Identifier
1447364260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 30833
- Practice address
- 1005 W Jefferson Blvd
Suite 205
Dallas, TX 75208-5087 - Phone
- (214) 941-1650
- NPI assigned
- Aug 18, 2006
- Last updated
- Apr 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 30833 | TX | Primary |
Addresses
Primary practice location
1005 W Jefferson Blvd
Suite 205
Dallas, TX 75208-5087
Mailing address
1005 W. Jefferson Blvd
Suite 205
Dallas, TX 75208
Phone (214) 941-1650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050314000090 | TX | Practitioner - Clinical Psychologist | 9032164058 | Practice locations: Dallas, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30833 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salesmanship Club Youth and Family | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1447364260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 W. JEFFERSON BLVD",
"address_2": "SUITE 205",
"city": "DALLAS",
"state": "TX",
"postal_code": "75208",
"telephone_number": "214-941-1650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W JEFFERSON BLVD",
"address_2": "SUITE 205",
"city": "DALLAS",
"state": "TX",
"postal_code": "752085087",
"telephone_number": "214-941-1650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALVERT",
"first_name": "JAMES",
"middle_name": "DOUGLAS",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "30833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.