Active NPI
Josiah B Drawhorn, PH.D., N.D., TH.D.
- Psychologist
- Bullhead City, AZ
National Provider Identifier
1609193994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- WAITING 4 TEST DATE
- Practice address
- 1225 Hancock Rd
Suite 301
Bullhead City, AZ 86442-5948 - Phone
- (928) 758-8255
- Fax
- (928) 758-4632
- NPI assigned
- Apr 26, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | WAITING 4 TEST DATE | IN | Primary |
Addresses
Primary practice location
1225 Hancock Rd
Suite 301
Bullhead City, AZ 86442-5948
Mailing address
1225 Hancock Rd
Suite 301
Bullhead City, AZ 86442-5948
Phone (928) 758-8255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BEING SENT TO ME | Other | ICAADA MEMBER (THIS IS A NEW BUSINESS. WE ARE IN PROCESS OF APPLYING TO ALL |
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 |
|---|---|---|---|
| WAITING 4 TEST DATE | IN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272240000000",
"number": "1609193994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 HANCOCK RD",
"address_2": "SUITE 301",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864425948",
"telephone_number": "928-758-8255",
"fax_number": "928-758-4632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 HANCOCK RD",
"address_2": "SUITE 301",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864425948",
"telephone_number": "928-758-8255",
"fax_number": "928-758-4632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAWHORN",
"first_name": "JOSIAH",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PH.D., N.D., TH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-26",
"last_updated": "2010-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "WAITING 4 TEST DATE",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ICAADA MEMBER (THIS IS A NEW BUSINESS. WE ARE IN PROCESS OF APPLYING TO ALL",
"identifier": "BEING SENT TO ME",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.