Active NPI
James Peter Berghuis, PHD
- Psychologist
- Seattle, WA
National Provider Identifier
1811987159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY00001836
- Practice address
- 4525 50TH Ave S
Seattle, WA 98118-1459 - Phone
- (206) 414-8596
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | PY00001836 | WA | |
| Psychologist | 103T00000X | PY00001836 | WA | Primary |
Addresses
Primary practice location
4525 50TH Ave S
Seattle, WA 98118-1459
Mailing address
4525 50TH Ave S
Seattle, WA 98118-1459
Phone (206) 414-8596
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drjim@thrivebhcare.com | Direct |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpoint | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Redmond, WA
- NPI 1891795621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1811987159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 50TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981181459",
"telephone_number": "206-414-8596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 50TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981181459",
"telephone_number": "206-414-8596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGHUIS",
"first_name": "JAMES",
"middle_name": "PETER",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "PY00001836",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY00001836",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drjim@thrivebhcare.com",
"affiliation": "N",
"endpointDescription": "practice email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "4525 50th Ave S",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981181459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.