James Richardson Boone, PH D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY04361 Issued in FL

Practice address

2625 Keystone Rd
Suite a-3
Tarpon Springs, FL 34688-7436

Phone

(727) 944-4600

Fax

(727) 945-9800

NPI assigned

May 16, 2007

Last updated

Dec 14, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• James R Boone PH D Professional LLC

  • Clinical Psychologist
  • Tarpon Springs, FL
  • NPI 1982814893
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1912114356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 KEYSTONE RD",
            "address_2": "SUITE A-3",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346887436",
            "telephone_number": "727-944-4600",
            "fax_number": "727-945-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 KEYSTONE RD",
            "address_2": "SUITE A-3",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346887436",
            "telephone_number": "727-944-4600",
            "fax_number": "727-945-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "JAMES",
        "middle_name": "RICHARDSON",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY04361",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY04361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Nicole Bivens
• Elizabeth Jean Blankenship, LCSW
• Gerard J Bogin, DC
• Christina Bonk
• Deborah Marie Bonnema, COTA
• William Mark Boudreau, CRNA
• Bowen Research and Training Institute Inc
• Katelyn Bowen
• Maria Bowlin, SFA
• Breaking Free Services LLC

• Psychologist in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.