Active NPI
William J. Jamieson, PH.D.
- Clinical Neuropsychologist
- Manchester, NH
National Provider Identifier
1730162843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 256
- Practice address
- 61 North St
Manchester, NH 03104-3029 - Phone
- (603) 669-4130
- Fax
- (603) 206-5438
- NPI assigned
- Nov 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 256 | NH | Primary |
| Clinical Psychologist | 103TC0700X | 256 | NH |
Addresses
Primary practice location
61 North St
Manchester, NH 03104-3029
Mailing address
61 North St
Manchester, NH 03104-3029
Phone (603) 669-4130
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0602234Y0NH02 | Other | NH | ANTHEM |
| 30422687 | Medicaid | NH |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256 | NH | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1730162843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 NORTH ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031043029",
"telephone_number": "603-669-4130",
"fax_number": "603-669-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 NORTH ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031043029",
"telephone_number": "603-669-4130",
"fax_number": "603-206-5438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMIESON",
"first_name": "WILLIAM",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NH",
"license": "256",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "256",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0602234Y0NH02",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30422687",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.