Active NPI
James Joseph Roche, PHD
- Psychologist
- Blaine, WA
National Provider Identifier
1578956132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY 60313079
- Practice address
- 1685 H St # 870
Blaine, WA 98230-5110 - Phone
- (778) 998-7975
- NPI assigned
- Mar 6, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 013002-1 | NY | |
| Psychologist | 103T00000X | PY 60313079 | WA | Primary |
Addresses
Primary practice location
1685 H St # 870
Blaine, WA 98230-5110
Mailing address
303-338 8TH Ave W
Vancouver, BRITISH COLUMBIA V5Y3X2
CA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 60313079 | WA | MD | Psychologist |
| 013002-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1578956132",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "303-338 8TH AVE W",
"city": "VANCOUVER",
"state": "BRITISH COLUMBIA",
"postal_code": "V5Y3X2"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1685 H ST # 870",
"city": "BLAINE",
"state": "WA",
"postal_code": "982305110",
"telephone_number": "778-998-7975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHE",
"first_name": "JAMES",
"middle_name": "JOSEPH",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-06",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "013002-1",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY 60313079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blaine, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.