Individual provider Active NPI

James Richard Purin, LCSW

  • Clinical Social Worker
  • Ogden, UT
National Provider Identifier
1659598993
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
311603-3501 Issued in UT
Practice address
5030 Harrison Blvd
Ogden, UT 84403-4311
Phone
(801) 387-5780
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 311603-3501 UT Primary

Addresses

Primary practice location

5030 Harrison Blvd
Ogden, UT 84403-4311

Mailing address

5030 Harrison Blvd
Ogden, UT 84403-4311
Phone (801) 387-5780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20130812000100 UT Practitioner - Clinical Social Worker 0941442537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1496 E 5600
Suite 3
Ogden, UT 84403-4821
Phone (801) 334-6234

2400 N Washington Blvd
North Ogden, UT 84414-7233
Phone (435) 792-1770

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
311603-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Jul 21, 2013 Accepting new patients
Brookshire Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 21, 2013 Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

3903 Medical Dr
Ste 300
Ogden, UT 84403
Phone (801) 387-5600

2400 N Washington Blvd
Ogden, UT 84414
Phone (801) 387-8300

Organizations & group practices 5

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659598993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034311",
            "telephone_number": "801-387-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034311",
            "telephone_number": "801-387-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURIN",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "311603-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.