NPIMap

Organization Active NPI

James W Quillin, PHD, Appc

  • Clinical Psychologist
  • Alexandria, LA
National Provider Identifier
1740568872
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0318 MP Issued in LA
Legal business name
JAMES W QUILLIN, PHD, APPC
Practice address
1016 Calais Cir
Alexandria, LA 71303-2307
Phone
(318) 442-7355
Fax
(318) 442-4407
NPI assigned
Jul 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Dr. James Wesley Quillin, PHD, MP
Title
President
Phone
(318) 442-7355

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 0318MP LA
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 0318 MP LA Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1288 LA
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 1288 LA
Prescribing (Medical) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP0016X 0318MP LA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 2498 LA

Addresses

Primary practice location

1016 Calais Cir
Alexandria, LA 71303-2307

Mailing address

1016 Calais Cir
Alexandria, LA 71303-2307
Phone (318) 442-7355

Other identifiers 1

IdentifierTypeStateIssuer
437700719BOtherLABLUE CROSS

National Provider Directory

National Provider Directory

Locations

1016 Calais Cir
Alexandria, LA 71303
Phone (318) 442-7355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1740568872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 CALAIS CIR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032307",
            "telephone_number": "318-442-7355",
            "fax_number": "318-442-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 CALAIS CIR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032307",
            "telephone_number": "318-442-7355",
            "fax_number": "318-442-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W QUILLIN, PHD, APPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "QUILLIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-442-7355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MP"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "LA",
            "license": "0318MP",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "0318 MP",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1288",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "LA",
            "license": "1288",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "0318MP",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2498",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "437700719B",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.