James R Boone PH D Professional LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY04361 Issued in FL

Legal business name

JAMES R BOONE PH D PROFESSIONAL LLC

Practice address

2625 Keystone Rd
Suite a-3
Tarpon Springs, FL 34688-7436

Phone

(727) 944-4600

Fax

(727) 945-9800

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Richardson Boone, PH.D.NPI 1912114356

Title

Sole Member

Phone

(727) 944-4600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Richardson Boone, PH D

  • Psychologist
  • Tarpon Springs, FL
  • NPI 1912114356
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1982814893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 KEYSTONE RD",
            "address_2": "SUITE A-3",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346887436",
            "telephone_number": "727-944-4600",
            "fax_number": "727-945-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 KEYSTONE RD",
            "address_2": "SUITE A-3",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346887436",
            "telephone_number": "727-944-4600",
            "fax_number": "727-945-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R BOONE PH D PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RICHARDSON",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "727-944-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY04361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John N Huy, DC DACBN
• Nancy Christine Hykel-Malone, M.D.
• Imaging & Radiology Specialists, LLP
• Richard A. Ippolito, L.M.H.C.
• Janice Mary Jadlowski, LCSW
• Carolina Lima Jantac, M.S., R.D., L.D.
• Mona Javeed, DMD
• Jeffery a. Prosser, M.D.
• Chantelle Jerald
• JMB Loving Care LLC

• Clinical Psychologist in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.