Individual provider Active NPI

James Franklin Pontius, PHD

  • Clinical Psychologist
  • Castle Rock, CO
National Provider Identifier
1528094513
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3349 Issued in OH
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

Updated by the provider on May 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
84107OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coleman Professional Services, Inc. Clinical Past Accepting new patients
Crisis Intervention and Recovery Center, Inc. PastSince Jun 26, 2004 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.

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

Verify at the official NPI Registry.