Individual provider Active NPI

James Albert Foos, PSY.D.

  • Psychologist
  • Victoria, TX
National Provider Identifier
1942246376
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
23442 Issued in TX
Practice address
101 Maplewood Dr
#26
Victoria, TX 77901-4743
Phone
(361) 676-8627
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 23442 TX Primary

Addresses

Primary practice location

101 Maplewood Dr
#26
Victoria, TX 77901-4743

Mailing address

101 Maplewood Dr
#26
Victoria, TX 77901-4743
Phone (361) 676-8627

Other identifiers 1

IdentifierTypeStateIssuer
164199502MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20040603000577 TX Practitioner - Clinical Psychologist 9537141528 Practice locations: Livingston, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23442TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1942246376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAPLEWOOD DR",
            "address_2": "#26",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014743",
            "telephone_number": "361-676-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAPLEWOOD DR",
            "address_2": "#26",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014743",
            "telephone_number": "361-676-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOS",
        "first_name": "JAMES",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "23442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164199502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.