Individual provider Active NPI

Jimi A James, PHD

  • Psychologist
  • Bremerton, WA
National Provider Identifier
1881775500
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY00001758 Issued in WA
Practice address
7500 Old Military Rd NE
Suite 101
Bremerton, WA 98311-3241
Phone
(360) 613-4120
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY00001758 WA Primary

Addresses

Primary practice location

7500 Old Military Rd NE
Suite 101
Bremerton, WA 98311-3241

Mailing address

7500 Old Military Rd NE
Suite 101
Bremerton, WA 98311-3241
Phone (360) 613-4120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20081008000601 WA Practitioner - Clinical Psychologist 5597833228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7500 Old Military Rd NE
Suite 101
Bremerton, WA 98311-3242
Phone (360) 613-4120

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY00001758WAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jimi James, PHD, Inc, PS CurrentSince May 1, 2007 Accepting new patients

Locations

7500 Old Military Rd NE
#1
Bremerton, WA 98311
Phone (360) 613-4120

7500 Old Military Rd NE
Bremerton, WA 98311
Phone (360) 613-4120

7500 Old Military Rd NE
Ste 101
Bremerton, WA 98311
Phone (360) 613-4120

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881775500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 OLD MILITARY RD NE",
            "address_2": "SUITE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113241",
            "telephone_number": "360-613-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 OLD MILITARY RD NE",
            "address_2": "SUITE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113241",
            "telephone_number": "360-613-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "JIMI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00001758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.