Active NPI
William Joseph James, PSY.D.
- Clinical Psychologist
- Sherwood, OR
National Provider Identifier
1760616056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1934
- Practice address
- 22344 SW Main St
Sherwood, OR 97140-9416 - Phone
- (503) 625-2768
- Fax
- (503) 625-3768
- NPI assigned
- May 14, 2009
- 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 Psychologist | 103TC0700X | 1934 | OR | Primary |
| Clinical Psychologist | 103TC0700X | 071005185 | IL |
Addresses
Primary practice location
22344 SW Main St
Sherwood, OR 97140-9416
Mailing address
17655 SW Shasta TRL
Tualatin, OR 97062-9486
Phone (773) 484-8241
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071005185 | IL | MD | Clinical Psychologist |
| 1934 | OR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242259200000",
"number": "1760616056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17655 SW SHASTA TRL",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629486",
"telephone_number": "773-484-8241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22344 SW MAIN ST",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971409416",
"telephone_number": "503-625-2768",
"fax_number": "503-625-3768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-14",
"last_updated": "2009-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1934",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071005185",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherwood, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.