Jim B Folsom, MA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LPC1772 Issued in AZ

Practice address

10000 N 31St Ave
Suite A105
Phoenix, AZ 85051-9568

Phone

(602) 843-0000

Fax

(602) 843-0000

NPI assigned

Oct 12, 2006

Last updated

May 7, 2009By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1972692424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE",
            "address_2": "SUITE A105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519568",
            "telephone_number": "602-749-0171",
            "fax_number": "602-749-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE",
            "address_2": "SUITE A105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519568",
            "telephone_number": "602-843-0000",
            "fax_number": "602-843-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLSOM",
        "first_name": "JIM",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "LPC1772",
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "AZ",
            "license": "LISAC0023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Folger, MS CCC-SLP
• Madeline Folk, LAC
• Catherine A Foll, M.D.
• Dan Follensbee, FOSTER PARENT
• Follow One Course Until Success
• Laura Anne Folsom, CCC-SLP
• James Walter Foltz, MD
• Jessica Leigh Folz, NMD
• Benjamin F Fominyam, PHARM.D / MBA
• Judy Fong, FNP

• Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.