Active NPI
James Roger Schrage
- Psychologist
- Taunton, MA
National Provider Identifier
1982894556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 9859
- Practice address
- 60 Hodges Ave
Taunton, MA 02780 - Phone
- (508) 977-3663
- NPI assigned
- Jul 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Psychologist | 103T00000X | 9859 | MA | Primary |
Addresses
Primary practice location
60 Hodges Ave
Taunton, MA 02780
Mailing address
136 Babcock St
Quincy, MA 02169-2940
Phone (617) 481-2940
Other practice location 1
66 Hurlbut St
Pasadena, CA 91105-4025
Phone (626) 793-5141 ext. 308
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7068 | Medicaid | CA | |
| 7420 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9859 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1982894556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 BABCOCK ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021692940",
"telephone_number": "617-481-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HODGES AVE",
"city": "TAUNTON",
"state": "MA",
"postal_code": "02780",
"telephone_number": "508-977-3663"
}
],
"practiceLocations": [
{
"address_1": "66 Hurlbut St",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911054025",
"country_code": "US",
"telephone_number": "626-793-5141 x308",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHRAGE",
"first_name": "JAMES",
"middle_name": "ROGER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-30",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "9859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7068",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7420",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.