Individual provider Active NPI

James R. Lane, PH.D.

  • Counseling Psychologist
  • Tempe, AZ
National Provider Identifier
1942321229
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1047 Issued in AZ
Practice address
4015 S McClintock Dr Ste 101
Tempe, AZ 85282-5877
Phone
(480) 897-6261
Fax
(480) 897-6284
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1047 AZ Primary

Addresses

Primary practice location

4015 S McClintock Dr Ste 101
Tempe, AZ 85282-5877

Mailing address

4015 S McClintock Dr Ste 101
Tempe, AZ 85282-5877
Phone (480) 897-6261

Other identifiers 1

IdentifierTypeStateIssuer
AZ0601540OtherAZBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050415000175 AZ Practitioner - Clinical Psychologist 5799722237 Practice locations: Tempe, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

166 W Caroline LN
Tempe, AZ 85284-3051
Phone (480) 897-6261

315 W Elliot Rd
Suite 107 468
Tempe, AZ 85284-1328

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1047AZMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942321229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 S MCCLINTOCK DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825877",
            "telephone_number": "480-897-6261",
            "fax_number": "480-897-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S MCCLINTOCK DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825877",
            "telephone_number": "480-897-6261",
            "fax_number": "480-897-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JAMES",
        "middle_name": "R.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "1047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ0601540",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.