Active NPI
James Jonathan Brush, PH.D.
- Clinical Psychologist
- Tucson, AZ
National Provider Identifier
1740255132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3282
- Practice address
- 355TH Medical Group
4175 S Alamo Ave.
Tucson, AZ 85707 - Phone
- (520) 228-2778
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3282 | OH | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 3282 | OH | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 3282 | OH | |
| Clinical Psychologist | 103TC0700X | 3282 | OH | Primary |
Addresses
Primary practice location
355TH Medical Group
4175 S Alamo Ave.
Tucson, AZ 85707
Mailing address
3253 N Bend Rd
Cincinnati, OH 45239-7610
Phone (513) 662-9900
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 |
|---|---|---|---|
| 3282 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1740255132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3253 N BEND RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452397610",
"telephone_number": "513-662-9900",
"fax_number": "513-662-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355TH MEDICAL GROUP",
"address_2": "4175 S ALAMO AVE.",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85707",
"telephone_number": "520-228-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUSH",
"first_name": "JAMES",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2023-01-25",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "3282",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OH",
"license": "3282",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "OH",
"license": "3282",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "3282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.