Active NPI
James Dunbar Speer, M.DIV
- Counselor
- Waterbury, CT
National Provider Identifier
1932350840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 34 Murray St
Waterbury, CT 06710 - Phone
- (203) 756-8317
- Fax
- (203) 756-8310
- NPI assigned
- Oct 9, 2008
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
34 Murray St
Waterbury, CT 06710
Mailing address
34 Murray St
Waterbury, CT 06710
Phone (203) 756-8317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004068284 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223510400000",
"number": "1932350840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 MURRAY ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06710",
"telephone_number": "203-756-8317",
"fax_number": "203-756-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 MURRAY ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06710",
"telephone_number": "203-756-8317",
"fax_number": "203-756-8310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEER",
"first_name": "JAMES",
"middle_name": "DUNBAR",
"credential": "M.DIV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-09",
"last_updated": "2008-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004068284",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.