Active NPI
James Richard Healy, PH.D.
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1891855524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY21160
- Practice address
- 2555 E Colorado Blvd
Pasadena, CA 91107-6622 - Phone
- (626) 577-2261
- Fax
- (626) 577-2305
- NPI assigned
- Dec 11, 2006
- Last updated
- Mar 27, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY21160 | CA | Primary |
Addresses
Primary practice location
2555 E Colorado Blvd
Pasadena, CA 91107-6622
Mailing address
2555 E Colorado Blvd
Pasadena, CA 91107-6622
Phone (626) 577-2261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY 21160 | Other | CA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Public Health | Current | Accepting new patients |
Interoperability endpoints
- jameshealy-prototypes-healthright360@lacsapc.netsmartdirect.net
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.
-
dba Haight Ashbury Free Clinic
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1760427843
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427414400000",
"number": "1891855524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 E COLORADO BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911076622",
"telephone_number": "626-577-2261",
"fax_number": "626-577-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 E COLORADO BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911076622",
"telephone_number": "626-577-2261",
"fax_number": "626-577-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALY",
"first_name": "JAMES",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2015-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY21160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PSY 21160",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.