James Timothy Miersma

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY20669 Issued in CA

Practice address

10251 Hacienda St
Bellflower, CA 90706-6707

Phone

(562) 495-0610

NPI assigned

Nov 28, 2012

Last updated

Nov 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. James Timothy Miersma Sr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1609111921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10251 HACIENDA ST",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066707",
            "telephone_number": "562-495-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10251 HACIENDA ST",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066707",
            "telephone_number": "562-495-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIERSMA",
        "first_name": "JAMES",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "MIERSMA",
            "middle_name": "TIMOTHY",
            "prefix": "DR.",
            "suffix": "SR.",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Psychologist in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.