Individual provider Active NPI

James G Underhill, PSY.D.

  • Prescribing (Medical) Psychologist
  • Alexandria, LA
National Provider Identifier
1710201611
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
MP.000041 Issued in LA
Practice address
217 Ansley Blvd
Alexandria, LA 71303-3782
Phone
(318) 545-7255
NPI assigned
Mar 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 34475 TX
Clinical Psychologist 103TC0700X 34475 TX
Prescribing (Medical) Psychologist 103TP0016X MP.000041 LA Primary
Rehabilitation Psychologist 103TR0400X 34475 TX

Addresses

Primary practice location

217 Ansley Blvd
Alexandria, LA 71303-3782

Mailing address

PO Box 204181
Austin, TX 78720-4181
Phone (512) 484-0574

Other practice location 1

2600 N Highway 190 Ste 4
Covington, LA 70433-9068
Phone (985) 400-5479

Other practice location 2

1702A W 6th St
Austin, TX 78703-4771
Phone (512) 484-0574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20220920003015 LA Practitioner - Clinical Psychologist 9537299318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lauren D. Stokes, PH.D., M.P., LLC 6 clinicians

Practice addresses (Care Compare)

217 Ansley Blvd
Alexandria, LA 71303-3782
Phone (318) 545-7255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34475TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren D Stokes PHD MP LLC Prescribing (Medical) CurrentSince Aug 15, 2022 Accepting new patients
Rolling Hills Behavioral Health Services Clinical Past Accepting new patients

Locations

217 Ansley Blvd
Alexandria, LA 71303
Phone (318) 422-5743

Organizations & group practices 2

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": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1710201611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204181",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787204181",
            "telephone_number": "512-484-0574",
            "fax_number": "512-879-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 ANSLEY BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033782",
            "telephone_number": "318-545-7255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 N Highway 190 Ste 4",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704339068",
            "country_code": "US",
            "telephone_number": "985-400-5479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1702A W 6th St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787034771",
            "country_code": "US",
            "telephone_number": "512-484-0574",
            "fax_number": "512-879-1889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERHILL",
        "first_name": "JAMES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-22",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "34475",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34475",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "MP.000041",
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "TX",
            "license": "34475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.