Organization Active NPI

Jimi James, PHD, Inc, PS

  • Community/Behavioral Health Agency
  • Bremerton, WA
National Provider Identifier
1497905723
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PY00001758 Issued in WA
Legal business name
JIMI JAMES, PHD, INC, PS
Practice address
7500 Old Military Rd NE
Suite 101
Bremerton, WA 98311-3241
Phone
(360) 613-4120
Fax
(360) 613-0373
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Jimi James, PHDNPI 1881775500
Title
Owner
Phone
(360) 613-4120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PY00001758 WA Primary

Addresses

Primary practice location

7500 Old Military Rd NE
Suite 101
Bremerton, WA 98311-3241

Mailing address

7500 Old Military Rd NE
Suite 101
Bremerton, WA 98311-3241
Phone (360) 613-4120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081017000652 WA Part B Supplier - Clinic/Group Practice 5395803498 Receives reassigned benefits from 1 practitioner
Practice locations: Bremerton, WA

National Provider Directory

National Provider Directory

Locations

7500 Old Military Rd NE
Ste 101
Bremerton, WA 98311
Phone (360) 613-4120

7500 Old Military Rd NE
Bremerton, WA 98311
Phone (360) 613-4120

7500 Old Military Rd NE
#1
Bremerton, WA 98311
Phone (360) 613-4120

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1497905723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 OLD MILITARY RD NE",
            "address_2": "SUITE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113241",
            "telephone_number": "360-613-4120",
            "fax_number": "360-613-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 OLD MILITARY RD NE",
            "address_2": "SUITE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113241",
            "telephone_number": "360-613-4120",
            "fax_number": "360-613-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMI JAMES, PHD, INC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JIMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-613-4120",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "PY00001758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.