Active NPI
James Mike Ross, PHD
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1982770020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33227
- Practice address
- 12741 Research Blvd Ste 300
Austin, TX 78759-4329 - Phone
- (512) 983-1120
- NPI assigned
- Nov 28, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 33227 | TX | Primary |
Addresses
Primary practice location
12741 Research Blvd Ste 300
Austin, TX 78759-4329
Mailing address
12741 Research Blvd Ste 300
Austin, TX 78759-4329
Phone (512) 983-1120
Other names 1
- J Mike Ross
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1982770020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12741 RESEARCH BLVD STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594329",
"telephone_number": "512-983-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12741 RESEARCH BLVD STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594329",
"telephone_number": "512-983-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "JAMES",
"middle_name": "MIKE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "33227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "J",
"last_name": "ROSS",
"middle_name": "MIKE",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.