Individual provider Active NPI

James N Kraut, PSY D PA

  • Psychologist
  • Coral Springs, FL
National Provider Identifier
1811059439
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
FL#PY4990 Issued in FL
Practice address
3111 N University Dr
Suite 429
Coral Springs, FL 33065-5086
Phone
(954) 757-1400
Fax
(954) 757-3232
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X FL#PY4990 FL Primary

Addresses

Primary practice location

3111 N University Dr
Suite 429
Coral Springs, FL 33065-5086

Mailing address

3111 N University Dr
Suite 429
Coral Springs, FL 33065-5086
Phone (954) 757-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070609000077 FL Practitioner - Clinical Psychologist 5395843635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2855 N University Dr
Suite 200
Coral Springs, FL 33065-1403

5611 12TH Ave N
St Petersburg, FL 33710-5805
Phone (954) 599-9788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
FL#PY4990FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
James N. Kraut, Psy.D., LLC Psychologist CurrentSince Oct 17, 2011 Accepting new patients

Locations

3111 N University Dr
Ste 429
Coral Springs, FL 33065
Phone (954) 344-9825

2855 N University Dr
Ste 200
Coral Springs, FL 33065
Phone (954) 344-9825

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1811059439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 N UNIVERSITY DR",
            "address_2": "SUITE 429",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655086",
            "telephone_number": "954-757-1400",
            "fax_number": "954-757-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 N UNIVERSITY DR",
            "address_2": "SUITE 429",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655086",
            "telephone_number": "954-757-1400",
            "fax_number": "954-757-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUT",
        "first_name": "JAMES",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PSY D PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "FL#PY4990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.