Active NPI
James Alfred Levelle Jr., PH.D.
- Intellectual & Developmental Disabilities Psychologist
- Baton Rouge, LA
National Provider Identifier
1811169261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- License
- 886
- Practice address
- 18268 Petroleum Dr
Baton Rouge, LA 70809-6126 - Phone
- (225) 975-4262
- Fax
- (888) 345-7986
- NPI assigned
- Mar 26, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 886 | LA | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 886 | LA | Primary |
| School Psychologist | 103TS0200X | 886 | LA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 886 | LA |
Addresses
Primary practice location
18268 Petroleum Dr
Baton Rouge, LA 70809-6126
Mailing address
18268 Petroleum Dr
Baton Rouge, LA 70809-6126
Phone (225) 975-4262
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1307033 | Medicaid | LA | |
| 1032719 | Medicaid | LA |
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 |
|---|---|---|---|
| 886 | LA | MD | Intellectual & Developmental Disabilities Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243555200000",
"number": "1811169261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18268 PETROLEUM DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708096126",
"telephone_number": "225-975-4262",
"fax_number": "888-345-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18268 PETROLEUM DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708096126",
"telephone_number": "225-975-4262",
"fax_number": "888-345-7986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVELLE",
"first_name": "JAMES",
"middle_name": "ALFRED",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-26",
"last_updated": "2009-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "LA",
"license": "886",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "LA",
"license": "886",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "LA",
"license": "886",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "LA",
"license": "886",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1307033",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1032719",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.