Autumn James, MA, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361007468 Issued in MI

Practice address

21056 Dean St
Warren, MI 48091-2760

Phone

(586) 806-4678

NPI assigned

Jan 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Associated Psychologists PLC

  • Clinical Psychologist
  • St Clair Shores, MI
  • NPI 1629112420
  NPD (past)
• Safehaus Inc

  • Psychiatric Residential Treatment Facility
  • Warren, MI
  • NPI 1548402126
  NPD (past)

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1508519547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19936 COUNTRY CLUB DR",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251622",
            "telephone_number": "313-695-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21056 DEAN ST",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912760",
            "telephone_number": "586-806-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "AUTUMN",
        "credential": "MA, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fares Jamal, DO
• Maan Jamal, MD
• James F. Kraft DC PC
• James H. Aronovitz, DO PLLC
• James W Sweeney DO PC.
• Casey James, BCBA
• Sawsan Wadi Jamil, M.D.
• Marie Therese Jamison, APRN-BC
• Cheyenne Nicole Janes
• Ana Janic, DDS

• Psychologist in Warren, MI
• Providers in Warren, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.