NPIMap

Organization Active NPI

James W Ingersoll PHD Inc PS

  • Clinical Psychologist
  • Olympia, WA
National Provider Identifier
1932595303
Registry record updated Apr 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
446 Issued in WA
Legal business name
JAMES W INGERSOLL PHD INC PS
Practice address
1115 Olympia Ave NE
Olympia, WA 98506-4035
Phone
(360) 561-5730
NPI assigned
Apr 12, 2015
Last updated
Apr 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2015

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

Authorized official

Name
James W Ingersoll, PHDNPI 1487690715
Title
Psychologist/President
Phone
(360) 561-5730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 446 WA Primary

Addresses

Primary practice location

1115 Olympia Ave NE
Olympia, WA 98506-4035

Mailing address

1115 Olympia Ave NE
Olympia, WA 98506-4035
Phone (360) 561-5773

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428796800000",
    "number": "1932595303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 OLYMPIA AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064035",
            "telephone_number": "360-561-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 OLYMPIA AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064035",
            "telephone_number": "360-561-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W INGERSOLL PHD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-12",
        "last_updated": "2015-04-12",
        "status": "A",
        "authorized_official_last_name": "INGERSOLL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "360-561-5730",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.