Active NPI
James Franklin Pontius, PHD
- Clinical Psychologist
- Castle Rock, CO
National Provider Identifier
1528094513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3349
- Practice address
- 1189 S Perry St Ste 110B
Castle Rock, CO 80104 - Phone
- (330) 896-6262
- Fax
- (330) 896-6264
- NPI assigned
- Jun 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 84107 | OH | |
| Clinical Psychologist | 103TC0700X | 3349 | OH | Primary |
Addresses
Primary practice location
1189 S Perry St Ste 110B
Castle Rock, CO 80104
Mailing address
1189 S Perry St Ste 110B
Castle Rock, CO 80104-1979
Phone (303) 814-5488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20200610001452 | FL | Practitioner - Clinical Psychologist | 4880792670 | Practice locations: Parkland, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9335 Cantal Cir W
Parkland, FL 33076-4655
9355 Cantal Cir W
Parkland, FL 33076-4655
Phone (330) 412-3603
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84107 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coleman Professional Services, Inc. | Clinical | Past | Accepting new patients |
| Crisis Intervention and Recovery Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Voluntary or Charitable Agency
- Canton, OH
- NPI 1831162817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1528094513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1189 S PERRY ST STE 110B",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801041979",
"telephone_number": "303-814-5488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1189 S PERRY ST STE 110B",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "80104",
"telephone_number": "330-896-6262",
"fax_number": "330-896-6264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONTIUS",
"first_name": "JAMES",
"middle_name": "FRANKLIN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "84107",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "3349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.