Individual provider Active NPI

James Raymond Cole, PH.D.

  • Clinical Neuropsychologist
  • Walnut Creek, CA
National Provider Identifier
1780752337
Registry record updated Jul 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY7183 Issued in CA
Practice address
110 La Casa Via
Suite 130
Walnut Creek, CA 94598-3088
Phone
(925) 935-8839
Fax
(925) 686-4035
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY7183 CA Primary

Addresses

Primary practice location

110 La Casa Via
Suite 130
Walnut Creek, CA 94598-3088

Mailing address

1728 Woodcrest Dr
Concord, CA 94521-1205
Phone (925) 676-0747

Other identifiers 1

IdentifierTypeStateIssuer
PSY071830MedicaidCA

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

LicenseStateTypeSpecialty
7183CAMDProfessional Counselor
PSY7183CAMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279929600000",
    "number": "1780752337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 WOODCREST DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945211205",
            "telephone_number": "925-676-0747",
            "fax_number": "925-686-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LA CASA VIA",
            "address_2": "SUITE 130",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983088",
            "telephone_number": "925-935-8839",
            "fax_number": "925-686-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JAMES",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY7183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY071830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2010; 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.