Active NPI
James Charles Tanley, PH.D.
- Clinical Neuropsychologist
- Columbus, OH
National Provider Identifier
1710109269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 909
- Practice address
- 1500 West Third Avenue
Suite 131
Columbus, OH 43212-2816 - Phone
- (614) 488-9941
- Fax
- (614) 847-9672
- NPI assigned
- May 3, 2007
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 909 | OH | Primary |
Addresses
Primary practice location
1500 West Third Avenue
Suite 131
Columbus, OH 43212-2816
Mailing address
1500 West Third Avenue
Suite 131
Columbus, OH 43212-2816
Phone (614) 488-9941
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 |
|---|---|---|---|
| 909 | OH | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710109269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 WEST THIRD AVENUE",
"address_2": "SUITE 131",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432122816",
"telephone_number": "614-488-9941",
"fax_number": "614-847-9672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 WEST THIRD AVENUE",
"address_2": "SUITE 131",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432122816",
"telephone_number": "614-488-9941",
"fax_number": "614-847-9672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANLEY",
"first_name": "JAMES",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "OH",
"license": "909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.