Individual provider Active NPI

James A M Sales, MD

  • Child & Adolescent Psychiatry Physician
  • Rock Island, IL
National Provider Identifier
1902885569
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
036097267 Issued in IL
Practice address
2508 25TH St
Rock Island, IL 61201-5419
Phone
(309) 786-0600
Fax
(309) 786-8352
NPI assigned
Jan 12, 2006
Last updated
Aug 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 036097267 IL Primary

Addresses

Primary practice location

2508 25TH St
Rock Island, IL 61201-5419

Mailing address

2508 25TH St
Rock Island, IL 61201-5419
Phone (309) 786-0600

Other identifiers 1

IdentifierTypeStateIssuer
036097267MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908001476 IL Practitioner - Psychiatry 2860468022 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2508 25TH St
Suite E
Rock Island, IL 61201-5419
Phone (309) 786-0600

2560 24TH St
Suite 101
Rock Island, IL 61201-5389
Phone (309) 779-3970

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Robert Young Center for Community Mental Health CurrentSince Dec 31, 2021 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Trinity Medical Center CurrentSince Nov 4, 2016 Accepting new patients
The Robert Young Center for Community Mental Health Current Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Dec 31, 2021 Accepting new patients
Iowa Physicians Clinic Medical Foundation Past Accepting new patients
Independent Psychiatry SC Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 1120
Bettendorf, IA 52722
Phone (563) 742-5750

4480 Utica Ridge Rd
Ste 1140
Bettendorf, IA 52722
Phone (563) 359-9805

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

3411 Spring St
Davenport, IA 52807
Phone (563) 359-4200

4311 E 53rd St
Davenport, IA 52807
Phone (563) 441-5860

4622 Progress Dr
Ste A
Davenport, IA 52807
Phone (563) 742-5800

4600 3rd St
Moline, IL 61265
Phone (309) 779-2022

525 Valley View Dr
Moline, IL 61265
Phone (309) 601-2800

5401 44th Avenue Dr
Ste 101
Moline, IL 61265
Phone (309) 779-4050

600 John Deere Rd
Ste 401
Moline, IL 61265
Phone (309) 779-3627

2560 24th St
Ste 101
Rock Island, IL 61201
Phone (309) 779-3970

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

Interoperability endpoints

  • Direct secure messaging: jsales430893@direct.unitypoint.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1902885569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 25TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015419",
            "telephone_number": "309-786-0600",
            "fax_number": "309-786-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 25TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015419",
            "telephone_number": "309-786-0600",
            "fax_number": "309-786-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALES",
        "first_name": "JAMES",
        "middle_name": "A M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036097267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097267",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

Verify at the official NPI Registry.