Individual provider Active NPI

James Craig Ansel, PHD

  • Psychologist
  • East Greenbush, NY
National Provider Identifier
1881757029
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
007906 Issued in NY
Practice address
77 Troy Rd
East Greenbush, NY 12061-1330
Phone
(518) 794-8902
NPI assigned
Dec 19, 2006
Last updated
Oct 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 007906 NY Primary

Addresses

Primary practice location

77 Troy Rd
East Greenbush, NY 12061-1330

Mailing address

PO Box 79
New Lebanon, NY 12125-0079
Phone (518) 794-8902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040630000615 NY Practitioner - Clinical Psychologist 0547247371 Practice locations: East Greenbush, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Florida College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

77 Troy Rd
East Greenbush, NY 12061-1330
Phone (518) 794-8902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Psychological Associates Psychologist Past Accepting new patients
Northeast Psychological Associates PLLC Psychologist PastSince Jul 1, 2019 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1881757029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79",
            "city": "NEW LEBANON",
            "state": "NY",
            "postal_code": "121250079",
            "telephone_number": "518-794-8902",
            "fax_number": "518-456-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 TROY RD",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120611330",
            "telephone_number": "518-794-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSEL",
        "first_name": "JAMES",
        "middle_name": "CRAIG",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "007906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenbush, NY

Sources for this page

Verify at the official NPI Registry.