James Parker, PHD
Individual provider Active NPI Clinical Psychologist · Hot Springs, SD
NPI 1699730804 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1699730804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 3334 (AZ)
- Practice address
- 1201 Hwy 71 S.
Hot Springs, SD 57747 - Phone
- (605) 745-8910
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161031000611 | SD | Practitioner - Clinical Psychologist | 8527003995 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3334 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illahee Consulting, LTD | Current |
Accepting new patients | |
| Yuma Bio Behavioral Clinical Psychology | Past |
Accepting new patients |
Locations
145 N Chicago St
Hot Springs, SD 57747
Phone (605) 745-4630
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 3334 | AZ | |
| Clinical Psychologist | 103TC0700X | 3334 | AZ | Yes |
Addresses
Primary practice location
1201 Hwy 71 S.
Hot Springs, SD 57747
Mailing address
1201 Hwy 71 S.
Hot Springs, SD 57747
Phone (605) 745-8910
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 932774 | Medicaid | AZ |
NPI Registry JSON
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1699730804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 HWY 71 S.",
"city": "HOT SPRINGS",
"state": "SD",
"postal_code": "57747",
"telephone_number": "605-745-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 HWY 71 S.",
"city": "HOT SPRINGS",
"state": "SD",
"postal_code": "57747",
"telephone_number": "605-745-8910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "JAMES",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "AZ",
"license": "3334",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "3334",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "932774",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, SD
- Deborah Okerson
- Alison Lea Olson
- Bryan A Opitz
- Sarah Opitz
- Janet Caroline Opoien Twedt
- Amy K Persinger
- Peter M Setherland DDS LTD
- Chantal Marie Peterson
- Robert Edward Phares
- Pine Hills, Inc
All providers in Hot Springs, SD · Clinical Psychologist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.